CN113331851B - Mammary gland flattening device for mammary gland molybdenum target photography - Google Patents
Mammary gland flattening device for mammary gland molybdenum target photography Download PDFInfo
- Publication number
- CN113331851B CN113331851B CN202110716397.4A CN202110716397A CN113331851B CN 113331851 B CN113331851 B CN 113331851B CN 202110716397 A CN202110716397 A CN 202110716397A CN 113331851 B CN113331851 B CN 113331851B
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- Prior art keywords
- mammary gland
- plate
- end part
- breast
- flattening
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
- A61B6/44—Constructional features of apparatus for radiation diagnosis
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
- A61B6/04—Positioning of patients; Tiltable beds or the like
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
- A61B6/50—Clinical applications
- A61B6/502—Clinical applications involving diagnosis of breast, i.e. mammography
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/10—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
- A61B90/14—Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins
- A61B90/17—Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins for soft tissue, e.g. breast-holding devices
Abstract
The mammary gland flattening device for mammary gland molybdenum target photography comprises a flattening plate and a compression plate, wherein the flattening plate and the compression plate are arranged on a mammary gland X-ray machine, the compression plate is connected with the mammary gland X-ray machine through a connecting rod and can move up and down, and a sliding groove is formed in the side edge of the upper surface of the flattening plate; in summary, the novel technology is provided with the mammary gland traction component, so that the mammary gland is conveniently exposed, the nipple can be relatively fixed when the position of the mammary gland changes, the novel technology is provided with the arc traction device and the multistage flattening device, the novel technology is convenient to use, the flattening effect and the traction effect are good, the overlapping shadow of the photographed film is less, and the sensitivity of tumor discovery is improved.
Description
Technical Field
The invention belongs to the technical field of medical treatment, and particularly relates to a mammary gland flattening device for mammary gland molybdenum target photography.
Background
The mammary gland molybdenum target X-ray photographic examination is a simple, convenient and reliable noninvasive examination method for diagnosing mammary gland diseases, and has high resolution and good repeatability, and the left image can be used for front-back comparison. The method is particularly suitable for examining breast lumps which are not touched by doctors, particularly for large breasts and fat breasts, has higher diagnosis specificity, has higher sensitivity and specificity for early breast cancer which is only expressed by a little tiny calcium, and has important significance for early diagnosis and identification of the breast cancer. For the breast X-ray examination, the node can be detected, so that the node is required to be punctured for further clear diagnosis, partial tissues of the tumor are taken out for biopsy, and then the benign and malignant tumors are judged, so that a basis is provided for subsequent guidance.
In the existing mammary gland X-ray examination, a patient's breast is generally required to be placed on an examination table, then a radiation source irradiates downwards from the top end, the internal structure of the breast is photographed into a plane, if calcification, fibrosis and the like exist in the plane, a high-density shadow appears on the photographed plane, the calcification in breast cancer often appears in a starburst shape or a radial shape, the breast is photographed into a plane image during photographing, so that the condition of tissue structures in the plane can be photographed, but lesions perpendicular to the plane can be overlapped, and therefore, the breast is usually required to be photographed after being clamped at an angle (such as 15 degrees from left to right) so as to prevent the overlapping of the tumor in the vertical plane from causing omission. After moving shooting, positioning is carried out on a shot picture, and a puncture point which is closer to the skin is selected as a point for entering a puncture needle, but the X-ray picture is positioned at present, but the X-ray picture is not positioned on the surface of a mammary gland, and the situation that the morphology of the X-ray picture is changed when the mammary gland changes position and the like is inconsistent with the positioning point during shooting occurs, so that puncture failure is caused.
At present, for the mammary gland with smaller volume or softer mammary gland, the mammary gland is difficult to be placed on a shooting plate, the mammary gland cannot be well exposed and laid on the shooting plate smoothly, and for the softer mammary gland, if the gland cannot be laid on the shooting plate, the gland can have overlapping shadows on an image slice, and the specific position of the mammary gland tumor cannot be well positioned; for patients with smaller breasts, the breasts cannot be fully exposed to the shooting plate, so that the imaging effect is poor; for patients with crater nipple, the crater nipple causes the photographed piece nipple to be not outside the arc outline of the mammary gland, and the overlapping shadow can not well observe whether the nipple and surrounding tissues have tumor. At present, when shooting a film, the breast is downwards pressed from the chest wall by hands, so that the breast is pressed on a shooting plate, the hand is continuously moved to a position far away from the breast, the part of the breast, which is positioned on the shooting plate, is spread, folding is avoided, the breast is required to be pulled to be placed on a flat plate as far as possible by a patient with small nipple retraction or smaller breast, and the nipple is positioned at a tangential position, but spreading and fixing are carried out by a manipulation, the retraction of the breast gland influences shooting when the shooting position is changed, the spreading of the manipulation is unfavorable for protecting privacy of the patient, unnecessary misunderstanding is easily caused, the spreading effect of the manipulation is poor, the mammary is only spread once by the manipulation in the process of downwards moving a compression plate, and the hand cannot be inserted for spreading the manipulation when the space between the compression plate and a lower baffle is limited.
Disclosure of Invention
The invention aims to solve the defects in the prior art and provides the mammary gland flattening device for mammary gland molybdenum target photography, which has good imaging effect and is convenient for flattening the mammary glands of patients.
In order to solve the technical problems, the invention adopts the following technical scheme: the utility model provides a mammary gland molybdenum target photographic mammary gland flattening device, includes panel and compression paddle, panel and compression paddle all set up on the mammary gland X-ray machine, and the compression paddle passes through the connecting rod and is connected with the mammary gland X-ray machine, the compression paddle can reciprocate, the upper surface side of panel set up first spout, sliding mounting has L type movable rod in the first spout, the tip of movable rod is provided with the handle, be fixed with the installation cover at the other end of movable rod, the installation cover interpolation is equipped with the traction rod, threaded connection has positioning bolt on the installation cover, positioning bolt's tip and traction rod roof pressure contact, the tip of traction rod is provided with nipple suction bowl, be connected with two elastic strips at the tip of installation cover, two elastic strips symmetry set up, all set up a plurality of negative pressure suction bowl on every elastic strip, nipple suction bowl and negative pressure suction bowl are all connected with negative pressure equipment through negative pressure pipe;
one side of the compression plate is connected with two vertical rails, the vertical rails are mutually perpendicular to the compression plate, second sliding grooves are formed in two side parts of the compression plate, the two second sliding grooves are respectively correspondingly connected with the two vertical rails, the groove bodies of the second sliding grooves and the vertical rails are of T-shaped structures, four breast flat plates are slidably arranged on the two vertical rails, and the breast flat plates can slide along the vertical rails and the corresponding second sliding grooves; four wire grooves are formed in each group of vertical tracks and the second sliding groove, a strip-shaped installation box is fixed on the upper surface of the compression plate, four rotating shafts are rotatably installed in the installation box, wire wheels are respectively arranged at two ends of each rotating shaft, driven bevel gears are arranged in the middle of each rotating shaft, four rotating rods are rotatably installed on the installation box, one end part of each rotating rod is positioned in the installation box, a driving bevel gear is arranged at one end part of each rotating rod, the driving bevel gear is meshed with the driven bevel gear, the other end part of each rotating rod is positioned outside the installation box, and a hand wheel is arranged at the other end part of each rotating rod;
the two ends of the mammary gland flat bed plate are respectively connected with a traction wire, the traction wire is arranged in the wire groove, and the movable end part of the traction wire is wound on the wire reel.
Developing scale marks are arranged on the flattening plate.
A plurality of puncture through holes are arranged on the compression plate.
Each breast plate is composed of a plurality of strip units, and adjacent strip units are hinged through long pin shafts.
Four sliding parts are arranged above each breast flat plate, the breast flat plates are slidably mounted in the T-shaped groove bodies of the vertical tracks through the four sliding parts, each sliding part comprises a mounting column, the upper ends of the mounting columns are fixedly connected with two circular plates, the two circular plates are arranged at intervals, the rollers are rotatably mounted on the two side faces of the two circular plates, the lower ends of the mounting columns are hinged to the breast flat plates, and the two rollers are in rolling connection with the T-shaped groove bodies of the vertical tracks.
By adopting the technical scheme, the invention has the following beneficial effects: the novel technology is provided with the mammary gland traction component, the mammary gland is conveniently exposed, and the nipple can be relatively fixed when the position of the mammary gland changes, the novel technology is provided with the arc traction device and the multistage flattening device, the novel technology is convenient to use, the flattening effect and the traction effect are good, the number of overlapping shadows of the photographed films is small, and the sensitivity of tumor discovery is improved.
Drawings
FIG. 1 is a schematic view of the structure of a spreader plate;
fig. 2 is a schematic structural view of the compression plate;
FIG. 3 is a schematic view of the construction of a breast plate;
FIG. 4 is an enlarged view at A in FIG. 3;
FIG. 5 is a schematic view of the structure of the spindle and reel;
fig. 6 is an enlarged view at B in fig. 2.
Detailed Description
As shown in fig. 1-6, the mammary gland flattening device for mammary gland molybdenum target photography comprises a flattening plate 1 and a compression plate 2, wherein the flattening plate 1 and the compression plate 2 are both arranged on a mammary gland X-ray machine, the compression plate 2 is connected with the mammary gland X-ray machine through a connecting rod, the compression plate 2 can move up and down, a first sliding groove 3 is formed in the side edge of the upper surface of the flattening plate 1, an L-shaped movable rod 4 is slidably arranged in the first sliding groove 3, a handle 5 is arranged at the end part of the movable rod 4, an installation sleeve 6 is fixed at the other end of the movable rod 4, a traction rod 7 is inserted in the installation sleeve 6, a positioning bolt 8 is connected onto the installation sleeve 6 in a threaded manner, the end part of the positioning bolt 8 is in pressing contact with the traction rod 7, a nipple 9 is arranged at the end part of the traction rod 7, two elastic strips 10 are symmetrically arranged at the end part of the installation sleeve 6, a plurality of negative pressure cups 11 are respectively arranged on the elastic strips 10, and the nipple cups 9 and the negative pressure cups 11 are connected with negative pressure equipment through negative pressure pipes;
one side of the compression plate 2 is connected with two vertical rails 12, the vertical rails 12 are mutually perpendicular to the compression plate 2, two side parts of the compression plate 2 are provided with second sliding grooves 33, the two second sliding grooves 33 are respectively correspondingly connected with the two vertical rails 12, the second sliding grooves 33 and the groove bodies of the vertical rails 12 are of T-shaped structures, four breast flat plates 13 are slidably arranged on the two vertical rails 12, and the breast flat plates 13 can slide along the vertical rails 12 and the corresponding second sliding grooves 33; four wire grooves 14 are formed in each group of vertical rails 12 and the second sliding groove 33, a strip-shaped mounting box 15 is fixed on the upper surface of the compression plate 2, four rotating shafts 16 are rotatably mounted in the mounting box 15, wire wheels 17 are respectively arranged at two ends of each rotating shaft 16, a driven bevel gear 18 is arranged in the middle of each rotating shaft 16, four rotating rods are rotatably mounted on the mounting box 15, one end part of each rotating rod is positioned in the mounting box 15, a driving bevel gear 20 is arranged at one end part of each rotating rod, the driving bevel gear 20 is meshed with the driven bevel gear 18, the other end part of each rotating rod is positioned outside the mounting box 15, and a hand wheel 19 is arranged at the other end part of each rotating rod;
the two ends of the mammary gland flat bed 13 are respectively connected with a traction wire, the traction wire is arranged in the wire groove 14, and the movable end part of the traction wire is wound on the wire wheel 17.
The developing scale line 21 is provided on the spreader plate 1.
The compression plate 2 is provided with a plurality of puncture through holes 22.
Each breast board 13 is composed of a plurality of long strip units 23, and adjacent long strip units 23 are hinged through long pin shafts, so that the breast board 13 can conveniently move in the second sliding groove 33 and the vertical rail 12.
Four sliding parts 27 are arranged above each breast flat plate 13, the breast flat plates 13 are slidably mounted in T-shaped grooves of the vertical rails 12 through the four sliding parts 27, each group of sliding parts 27 comprises a mounting column 24, the upper ends of the mounting columns 24 are fixedly connected with two circular plates 25, the two circular plates 25 are arranged at intervals, rollers 26 are rotatably mounted on two side faces of the two circular plates 25, the lower ends of the mounting columns 24 are hinged to the breast flat plates 13, and the two rollers 26 are in rolling connection with the T-shaped grooves of the vertical rails 12.
The novel technology comprises a flattening plate 1 and a compression plate 2, wherein a plurality of development scale lines 21 are arranged on the upper edge of the flattening plate 1, the development scale lines 21 are metal points, the metal points correspond to each other under X lines, and the positions of the puncture points are conveniently confirmed when the puncture points are selected after shooting; be provided with the puncture through hole 22 of a plurality of fretwork on the oppression board 2, conveniently follow downthehole needle of advancing and puncture, the diameter of puncture through hole 22 is greater than the pjncture needle far away, conveniently adjusts the angle of needle of advancing.
The novel technology is characterized in that a movable rod 4 and a traction rod 7 are arranged on a flattening plate 1, a nipple suction cup 9 is arranged on the traction rod 7 and used for traction of a patient's invaginated nipple, two elastic strips 10 are arranged on the movable rod 4, a plurality of negative pressure suction cups 11 are arranged on the elastic strips 10, the elastic strips 10 are linear, the negative pressure suction cups 11 can be utilized to be adsorbed on the periphery of a patient's mammary gland, and as the periphery of the patient's mammary gland is arc-shaped, when all the negative pressure suction cups 11 on the elastic strips 10 are adsorbed on the periphery of the patient's mammary gland, the elastic strips 10 deform, and arc-shaped traction is carried out on the patient's mammary gland by utilizing the elastic deformation of the elastic strips 10, so that the flattening effect is achieved;
when the novel technology is used, the breast of a patient is close to the breast flat plate 13 of the compression plate 2 as much as possible, the breast of the patient is spread on the flat plate 1, the negative pressure suction bowl 11 and the nipple suction bowl 9 on the flat plate 1 are utilized to adsorb the breast of the patient, then the mammary gland X-ray machine is started, the compression plate 2 is enabled to move downwards continuously, four handwheels 19 can be sequentially rotated in the downward moving process, the breast flat plate 1 is enabled to move to the bottom surface of the compression plate 2 along the vertical track 12, the breast flat plate 1 is enabled to extrude the breast from the chest wall to the compression plate 2 and the flat plate 1, the extrusion effect of the flat plate 1 is enabled to flatten the breast when the breast is between the breast, the soft cushion is arranged below the flat plate 1, the breast is protected from being damaged by compression, the novel technology can be provided with a plurality of breast flat plates 13, and the mammary gland is flattened well through the effect of the plurality of the breast flat plates 13 in the downward moving process, and even when the distance between the compression plate 2 and the flat plate 1 is smaller.
The present embodiment is not limited in any way by the shape, material, structure, etc. of the present invention, and any simple modification, equivalent variation and modification made to the above embodiments according to the technical substance of the present invention are all included in the scope of protection of the technical solution of the present invention.
Claims (5)
1. Mammary gland molybdenum target is photographic with mammary gland exhibition device, including exhibition board and compression paddle, exhibition board and compression paddle all set up on mammary gland X-ray machine, and the compression paddle passes through the connecting rod and is connected with mammary gland X-ray machine, but compression paddle reciprocates, its characterized in that: the device is characterized in that a first sliding groove is formed in the side edge of the upper surface of the flattening plate, an L-shaped moving rod is slidably installed in the first sliding groove, a handle is arranged at the end part of the moving rod, an installation sleeve is fixed at the other end of the moving rod, a traction rod is inserted in the installation sleeve, a positioning bolt is connected to the installation sleeve through threads, the end part of the positioning bolt is in jacking contact with the traction rod, a nipple suction bowl is arranged at the end part of the traction rod, two elastic strips are symmetrically arranged at the end part of the installation sleeve, a plurality of negative pressure suction bowls are arranged on each elastic strip, and the nipple suction bowls and the negative pressure suction bowls are connected with negative pressure equipment through negative pressure pipes;
one side of the compression plate is connected with two vertical rails, the vertical rails are mutually perpendicular to the compression plate, second sliding grooves are formed in two side parts of the compression plate, the two second sliding grooves are respectively correspondingly connected with the two vertical rails, the groove bodies of the second sliding grooves and the vertical rails are of T-shaped structures, four breast flat plates are slidably arranged on the two vertical rails, and the breast flat plates can slide along the vertical rails and the corresponding second sliding grooves; four wire grooves are formed in each group of vertical tracks and the second sliding groove, a strip-shaped installation box is fixed on the upper surface of the compression plate, four rotating shafts are rotatably installed in the installation box, wire wheels are respectively arranged at two ends of each rotating shaft, driven bevel gears are arranged in the middle of each rotating shaft, four rotating rods are rotatably installed on the installation box, one end part of each rotating rod is positioned in the installation box, a driving bevel gear is arranged at one end part of each rotating rod, the driving bevel gear is meshed with the driven bevel gear, the other end part of each rotating rod is positioned outside the installation box, and a hand wheel is arranged at the other end part of each rotating rod;
the two ends of the mammary gland flat bed plate are respectively connected with a traction wire, the traction wire is arranged in the wire groove, and the movable end part of the traction wire is wound on the wire reel.
2. The mammary gland flattening device for mammary gland molybdenum target photography according to claim 1, wherein: developing scale marks are arranged on the flattening plate.
3. The mammary gland flattening device for mammary gland molybdenum target photography according to claim 1, wherein: a plurality of puncture through holes are arranged on the compression plate.
4. The mammary gland flattening device for mammary gland molybdenum target photography according to claim 1, wherein: each breast plate is composed of a plurality of strip units, and adjacent strip units are hinged through long pin shafts.
5. The mammary gland flattening device for mammary gland molybdenum target photography according to claim 4, wherein: four sliding parts are arranged above each breast flat plate, the breast flat plates are slidably mounted in the T-shaped groove bodies of the vertical tracks through the four sliding parts, each sliding part comprises a mounting column, the upper ends of the mounting columns are fixedly connected with two circular plates, the two circular plates are arranged at intervals, the rollers are rotatably mounted on the two side faces of the two circular plates, the lower ends of the mounting columns are hinged to the breast flat plates, and the two rollers are in rolling connection with the T-shaped groove bodies of the vertical tracks.
Priority Applications (1)
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CN202110716397.4A CN113331851B (en) | 2021-06-28 | 2021-06-28 | Mammary gland flattening device for mammary gland molybdenum target photography |
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CN202110716397.4A CN113331851B (en) | 2021-06-28 | 2021-06-28 | Mammary gland flattening device for mammary gland molybdenum target photography |
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CN113331851B true CN113331851B (en) | 2023-05-30 |
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