CN113384821B - Protection device for applying intra-cavity after-loading therapy to gynecological malignant tumor - Google Patents

Protection device for applying intra-cavity after-loading therapy to gynecological malignant tumor Download PDF

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CN113384821B
CN113384821B CN202010167847.4A CN202010167847A CN113384821B CN 113384821 B CN113384821 B CN 113384821B CN 202010167847 A CN202010167847 A CN 202010167847A CN 113384821 B CN113384821 B CN 113384821B
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fixed frame
water injection
connection
threaded rod
bag
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CN113384821A (en
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韩志红
刘文丽
吴金萍
田小飞
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Shaanxi Provincial Cancer Hospital
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/10X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1001X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy using radiation sources introduced into or applied onto the body; brachytherapy
    • A61N5/1002Intraluminal radiation therapy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/10X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1001X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy using radiation sources introduced into or applied onto the body; brachytherapy
    • A61N5/1014Intracavitary radiation therapy
    • A61N5/1016Gynaecological radiation therapy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/10X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N2005/1092Details
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/10X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N2005/1092Details
    • A61N2005/1094Shielding, protecting against radiation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/10X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N2005/1092Details
    • A61N2005/1097Means for immobilizing the patient
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02ATECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A50/00TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
    • Y02A50/30Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Pathology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Radiation-Therapy Devices (AREA)

Abstract

The invention discloses a protection device for applying intracavity afterloading treatment to gynecological malignant tumors, which comprises a fixing plate, a threaded sleeve, an avoiding hole, a sliding column, an A fixing frame, an A water injection blocking bag, a fixing block, a T-shaped column, a threaded rod, a connecting frame, a B fixing frame, a B water injection blocking bag, a Y-shaped water pipe and a water pump.

Description

Protection device for applying intra-cavity afterloading therapy to gynecological malignant tumor
Technical Field
The invention relates to the technical field of gynecological treatment instruments, in particular to a protection device for applying intra-cavity afterloading treatment to gynecological malignant tumors.
Background
The near-distance after-loading treatment is that the radioactive source applicator is placed on the surface of the tumor body in the human body lumen or is inserted into the tumor body by a needle, and the radioactive source is directly used for radiotherapy on the surface of the tumor body or in the tumor body by a computer control system. Wherein the close-range afterloading treatment has obvious treatment effect on malignant tumors such as gynecological malignant tumors, nasopharyngeal carcinoma, esophageal cancer and the like.
According to the above, when the gynecological tumor afterloading treatment is clinically carried out at present, the irradiated dose of normal tissues around the cervix is reduced while the target dose is ensured, so that the occurrence of complications related to radiotherapy is reduced, and the treatment effect is ensured. Therefore, the distance between the rectum and the bladder and a radioactive source is increased by filling gauze in the vagina, so that the radiation dose of surrounding tissues is reduced, the occurrence of radiation cystitis and proctitis is reduced, and the function of fixing an applicator and determining the position of a treated lesion is realized to a certain extent. Although most hospitals operate the gauze filling method at present, the gauze filling method still has a plurality of defects and shortcomings in clinical use; 1. the treatment operating space of self is narrow, simultaneously because of patient's position, tumour position and variation in size, after placing the applicator, again to the intravaginal gauze that fills, can cause to fill the gauze difficulty, correspondingly increases the operation degree of difficulty. 2. After the first irradiation is finished, when the second operation treatment is carried out, the position of a patient, the tumor is reduced or the sickbed is moved in the operation process, so that the gauze is not filled uniformly for the previous time, the distance between a radioactive source and the bladder and the rectum is changed, the radiation dose of the tumor focus is reduced, and the radiation dose of the bladder and the rectum is increased inevitably. 3. The gauze is frequently forgotten to be taken out after the device is taken out, so that the gauze is left out in the vagina, and counting errors caused by human factors occur. 4. Although the existing gauze is filled with the gauze, the gauze can press and hold the applicator to a certain degree to achieve a corresponding fixing effect, but the gauze is lack of a powerful supporting point, and the applicator is completely fixed by the aid of the filled extrusion force, so that the problem that the applicator is easy to displace and even fall off in clinical practical use is also solved. In view of the above drawbacks, it is actually necessary to design a protection device for the application of an intracavitary afterloading therapy in gynecological malignancies.
Disclosure of Invention
The technical problem to be solved by the invention is as follows: provides a protective device for applying after-loading treatment in a cavity to gynecological malignant tumor, and solves the problems in the background technology.
In order to solve the technical problems, the technical scheme of the invention is as follows: a protection device for applying intra-cavity afterloading therapy to gynecological malignant tumors comprises a fixing plate, a threaded sleeve, a avoiding hole, a sliding column, an A fixing frame, an A water injection blocking bag, a fixing block, a T-shaped column, a threaded rod, a connecting frame, a B fixing frame, a B water injection blocking bag, a Y-shaped water pipe and a water pump, wherein the threaded sleeve is fixedly arranged on the lower side of the front end of the fixing plate, the threaded sleeve and the fixing plate are in welded connection, the avoiding hole is positioned at the middle end inside the fixing plate, the avoiding hole is a rectangular through hole, the sliding column penetrates through the inside of the avoiding hole, the sliding column is in vertical sliding connection with the avoiding hole, the A fixing frame is fixedly arranged at the rear end of the sliding column, the A fixing frame and the sliding column are integrally formed, the A water injection blocking bag is positioned inside the A fixing frame, the A water injection blocking bag is connected with the A fixing frame through a magic tape, the fixing block is fixedly arranged at the front end of the sliding column, fixed block and traveller adopt welded connection, T type post be located the fixed block inside, T type post rotate with the fixed block and be connected, the threaded rod set firmly in T type post bottom, threaded rod and T type post adopt welded connection, just threaded rod and thread bush adopt interior external thread to connect, the link set firmly in fixed plate top left side, link and fixed plate integrated into one piece, the fixed frame of B set firmly in link upper end rear side, the fixed frame of B adopt welded connection with the link, B water injection separation bag be located the fixed frame of B inside, B water injection separation bag adopt the magic subsides with the fixed frame of B to be connected, Y type water pipe upside both ends mouth run through the fixed frame of A and the fixed frame of B inside left side respectively, Y type water pipe respectively with the fixed frame of A and the fixed frame sliding connection of B, the water pump is fixedly arranged at the bottom end port of the Y-shaped water pipe and is connected with the Y-shaped water pipe through internal and external threads.
Furthermore, the fixed plate is rectangular stainless steel material, and thickness is 2mm.
Furthermore, the cross section of the sliding column is rectangular.
Further, the bottom of the threaded rod is fixedly provided with a handle, and the handle is connected with the threaded rod in a welding mode.
Further, the water pump left side still set firmly the connection water pipe, connection water pipe and water pump adopt interior external screw thread to be connected, connection water pipe left side still set firmly deposit the liquid bag, deposit the liquid bag and adopt the hot melt to be connected with the connection water pipe.
Compared with the prior art, this protection device that intracavitary afterloading treatment was used at gynaecology malignant tumor, at first through ingenious expansion mechanism design, can be convenient for open the patient's vagina region of gynaecology, be convenient for the inspection in the vagina, operation and treatment, and cooperate the fixed frame effect, play the fixed action, improve stability simultaneously, secondly cooperate the effect of annotating liquid formula water pocket separation regulation structure, thereby not only can be fine separation protection patient's bladder rectum region, reduce the exposure dose of the organs of endangering, the security of afterloading treatment is guaranteed, in addition also solved present clinical filling gauze at every turn and appeared position nonconformity easily, cause the accuracy of target area exposure dose to reduce, the poor scheduling problem of repeatability, finally pass through the aforesaid, reduce the emergence of radiation proctitis and cystitis, increase the accuracy of tumour irradiation.
Drawings
FIG. 1 is a front view of a protective device for intraluminal afterloading therapy for gynecological malignancies;
FIG. 2 is a perspective view of a protective device for use in endoluminal afterloading therapy for gynecological malignancies;
FIG. 3 is a perspective view of a protective device for use in an endoluminal afterloading treatment of gynecological malignancies;
FIG. 4 is a sectional view taken along the line A of a protective device for intraluminal afterloading treatment of gynecological malignancies;
FIG. 5 is an enlarged cross-sectional view of a T-shaped pillar;
FIG. 6 is an enlarged view of the attachment frame portion;
FIG. 7 is a perspective view of a protective device for use in an endoluminal afterloading treatment of gynecological malignancies;
figure 8 is a top view of the B water injection blocking bladder.
The device comprises a fixing plate 1, a threaded sleeve 2, an avoidance hole 3, a sliding column 4, a fixing frame A5, a water injection blocking bag A6, a fixing block 7, a T-shaped column 8, a threaded rod 9, a connecting frame 10, a fixing frame B11, a water injection blocking bag B12, a Y-shaped water pipe 13, a water pump 14, a handle 901, a connecting water pipe 1401 and a liquid storage bag 1402.
The following detailed description will be further described in conjunction with the above-identified drawings.
Detailed Description
In the following description, numerous specific details are set forth in order to provide a thorough understanding of the concepts underlying the described embodiments, however, it will be apparent to one skilled in the art that the described embodiments may be practiced without some or all of these specific details, and in other cases well-known process steps have not been described in detail.
As shown in fig. 1, 2, 3, 4, 5, 6, 7 and 8, the protection device for applying gynecological malignant tumor by intracavity afterloading therapy comprises a fixing plate 1, a threaded sleeve 2, an avoiding hole 3, a sliding column 4, a fixing frame 5, an a water injection blocking bag 6, a fixing block 7, a T-shaped column 8, a threaded rod 9, a connecting frame 10, a fixing frame 11, a B water injection blocking bag 12, a Y-shaped water pipe 13 and a water pump 14, wherein the threaded sleeve 2 is fixedly arranged at the lower side of the front end of the fixing plate 1, the threaded sleeve 2 and the fixing plate 1 are connected by welding, the avoiding hole 3 is arranged at the middle end inside the fixing plate 1, the avoiding hole 3 is a rectangular through hole, the sliding column 4 penetrates through the avoiding hole 3, the sliding column 4 is connected with the avoiding hole 3 in a vertical sliding manner, the fixing frame 5 is fixedly arranged at the rear end of the sliding column 4, the fixing frame A5 and the sliding column 4 are integrally formed, the A water injection separation bag 6 be located inside the fixed frame 5 of A, the fixed frame 5 of A water injection separation bag 6 and A adopt the magic subsides to be connected, fixed block 7 set firmly in 4 front ends of traveller, fixed block 7 and traveller 4 adopt welded connection, T type post 8 be located inside fixed block 7, T type post 8 rotate with fixed block 7 to be connected, threaded rod 9 set firmly in T type post 8 bottom, threaded rod 9 and T type post 8 adopt welded connection, just threaded rod 9 and thread bush 2 adopt internal and external threaded connection, link 10 set firmly in fixed plate 1 top left side, link 10 and fixed plate 1 integrated into one piece, the fixed frame 11 of B set firmly in link 10 upper end rear side, fixed frame B11 and link 10 adopt welded connection, the fixed frame 11 of B water injection separation bag 12 be located the fixed frame 11 of B inside, the B water injection blocking bag 12 is connected with the B fixing frame 11 through a magic tape, two ports at the upper side of the Y-shaped water pipe 13 respectively penetrate through the left sides of the interiors of the A fixing frame 5 and the B fixing frame 11, the Y-shaped water pipe 13 is respectively connected with the A fixing frame 5 and the B fixing frame 11 in a sliding mode, the water pump 14 is fixedly arranged at the port at the bottom end of the Y-shaped water pipe 13, and the water pump 14 is connected with the Y-shaped water pipe 13 through internal and external threads;
it should be noted that when the tumor after-loading treatment is needed to the gynecological patient, the medical staff can insert the radiation applicator into the vagina of the patient in advance, and after the adjustment is completed, the fixing frame A5 and the fixing frame B11 are inserted into the vagina of the patient, the fixing frame A and the fixing frame B are wide in front and narrow in back, so that the radiation applicator is convenient to insert, and the fixing frame A and the fixing frame B are convenient to sleeve on the outer side of the radiation applicator by matching with the action of the C-shaped connecting frame 10, then the fixing block 7 drives the sliding column 4 to link the fixing frame A5 and the water injection blocking bag A6 to slide from top to bottom along the avoiding hole 3 by rotating the threaded rod 9 because the threaded rod 9 is in internal and external threaded connection with the threaded sleeve 2 and the T-shaped column 8 is in rotary connection with the fixing block 7 when the threaded rod 9 rotates to drive the T-shaped column 8, at the moment, the vagina of the patient is convenient to expand by the above operation, so that the effective opening of the operation field is realized, then, in order to protect the tissues around the vagina of the patient, the medical care personnel can operate the water pump 14, namely the water pump 14 is started to inject the physiological saline into the A water injection blocking bag 6 and the B water injection blocking bag 12 through the Y-shaped water pipe 13, at the moment, under the injection action of the physiological saline, the expansion in the vertical direction is further realized due to the limiting action of the four sides of the A fixing frame 5 and the B fixing frame 11, the distance between the rectum and the bladder and a radioactive source is increased, meanwhile, the material of the A water injection blocking bag 6 and the material of the B water injection blocking bag 12 are waterproof and radiation-proof cloth, so that the blocking purpose can be achieved, the irradiation amount is greatly reduced, the urethra and the bladder rectum area of the patient are well protected, the safety of the after-loading treatment of the gynecological tumor is finally ensured, the problems of inconvenience in the operation process caused by the adoption of gauze in the prior clinic are solved, in addition, because the A water injection blocking bag 6 and the B water injection blocking bag 12 are under the expansion action, the device can form a clamping effect on a middle applicator, so that the stability of the applicator is enhanced, and the problem that the applicator is displaced and even separated is greatly prevented, the water pump 14 is a kamoerNew KP peristaltic pump 12v micro water pump, can be connected with an external power supply, and is convenient to disassemble and soak and sterilize because the water pump 14 is in internal and external thread connection with the Y-shaped water pump 13, and meanwhile, a plurality of air-permeable micropores and scales are arranged inside the A water injection blocking bag 6 and the B water injection blocking bag 12, so that a small amount of radiation can conveniently pass through the bags to achieve the corresponding radiation therapy purpose, in addition, the consistency of each insertion position can be ensured, and medical personnel can conveniently and well master the position size;
the fixing plate 1 is made of rectangular stainless steel and is 2mm thick;
the fixing plate 1 is used for fixing and positioning, the lower end of the outer side of the vagina is convenient for medical workers to operate, the fixing plate is made of rectangular stainless steel and hard, can be connected with an existing rear-mounted bracket, and the four sides of the fixing plate are obtuse angles, so that the operation safety is ensured;
the cross section of the sliding column 4 is rectangular;
it should be noted that the cross section of the sliding column 4 is rectangular, so that the sliding column can only slide up and down in the rectangular avoidance hole 3, and the stability of up-and-down adjustment of the rear-end A fixing frame 5 is ensured;
the bottom of the threaded rod 9 is also fixedly provided with a handle 901, and the handle 901 is connected with the threaded rod 9 by welding;
it should be noted that the handle 901 can facilitate the medical staff to rotate the threaded rod 9, which facilitates the threaded rod 9 to rotate along the threaded sleeve 2;
a connecting water pipe 1401 is fixedly arranged on the left side of the water pump 14, the connecting water pipe 1491 is connected with the water pump 14 through internal and external threads, a liquid storage bag 1402 is fixedly arranged on the left side of the connecting water pipe 1401, and the liquid storage bag 1402 is connected with the connecting water pipe 1401 through hot melting;
it should be noted that the connection water pipe 1401 is for connecting water pump 14 and liquid storage bag 1402, the internal and external screw thread swivelling joint effect of connection water pipe 1401 port and water pump 14 water inlet end is coordinated simultaneously, so also convenient dismantlement, be convenient for change and use, the inside physiological saline that is of liquid storage bag 1402, after flowing into A water injection separation bag 6 and the inside B water injection separation bag 12 through Y type water pipe 13, be convenient for A water injection separation bag 6 and B water injection separation bag 6 expand.

Claims (5)

1. The utility model provides a protective device that intracavity afterloading is treated and is used at gynaecology malignant tumor, its characterized in that includes fixed plate, thread bush, dodge hole, traveller, the fixed frame of A, A water injection separation bag, fixed block, T type post, threaded rod, link, the fixed frame of B, B water injection separation bag, Y type water pipe, water pump, the thread bush set firmly in fixed plate front end downside, thread bush and fixed plate adopt welded connection, dodge the hole and be located the inside middle-end of fixed plate, dodge the hole be the rectangle through-hole, the traveller run through dodge downthehole portion, traveller and dodge sliding connection about the hole, fixed frame A set firmly in the traveller rear end, fixed frame and traveller integrated into one piece, A separation bag be located the fixed frame of A inside, A water injection separation bag adopt the magic subsides with the fixed frame to be connected, the fixed block set firmly in the traveller front end, the fixed block adopt welded connection with the traveller, the traveller adopt welded connection of water injection bag inside and outside the fixed frame of T type post be located the fixed block, T type post rotate with the fixed frame, T type post and threaded rod, the threaded rod connect the fixed frame B and the fixed frame B and the left side of adopting the magic side of the fixed frame and the thread connection of B and the fixed frame, the thread connection of the fixed frame B and the magic side of the fixed frame, the magic side connection of the fixed frame, the fixed frame B and the magic side connection of the fixed frame of B and the thread bush of the fixed frame of the magic connection, the left side connection of the fixed frame of the magic connection of the thread bush of the fixed frame of the magic connection, the water pump is fixedly arranged at the bottom end port of the Y-shaped water pipe and is connected with the Y-shaped water pipe through internal and external threads;
the medical staff inserts the radiation applicator into the vagina of a patient in advance, and after the adjustment preparation is finished, the A fixing frame and the B fixing frame are inserted into the vagina of the patient conveniently, the A fixing frame and the B fixing frame are wide at the front and narrow at the back and are matched with the action of the C-shaped connecting frame to be sleeved on the outer side of the radiation applicator conveniently, then the threaded rod is rotated, the threaded rod and the threaded sleeve are in internal and external threaded connection, and the T-shaped column is rotationally connected with the fixing block, so when the threaded rod rotates to drive the T-shaped column to rotate, the fixing block drives the sliding column to link the A fixing frame and the A water injection blocking bag to slide from top to bottom along the avoidance hole, at the moment, the vagina of the patient is conveniently expanded through the operation, the effective opening of the operation field is realized, then, in order to protect tissues around the vagina of the patient, the medical staff operates the water pump, namely, the water pump is started to inject the normal saline into the A water injection separation bag and the B water injection separation bag through the Y-shaped water pipe, at the moment, under the injection action of the normal saline, the expansion in the vertical direction is further realized due to the limiting action of four sides of the A fixed frame and the B fixed frame, the distance between the rectum and the bladder and the radioactive source is increased, meanwhile, the A water injection separation bag and the B water injection separation bag are made of waterproof radiation-proof cloth, so the separation purpose can be realized, the irradiation amount is reduced, the urethra and the bladder rectum area of a patient are protected, in addition, under the expansion action of the A water injection separation bag and the B water injection separation bag, the clamping effect can be formed on the middle applicator, the water pump is a peristaltic pump 12v micro water pump which is connected with an external power supply, and is connected with the Y-shaped water pump through internal and external threads, so the disassembly is convenient, the soaking and the disinfection treatment is convenient, meanwhile, a plurality of air-permeable micropores and scales are arranged inside the A water injection separation bag and the B water injection separation bag, facilitating the radiation dose penetration while ensuring consistency in each insertion location.
2. The protection device for use in the intracavitary afterloading treatment of gynecological malignant tumors according to claim 1, wherein said fixation plate is made of rectangular stainless steel and has a thickness of 2mm.
3. The protective device for use in the endoluminal afterloading treatment of gynecological malignancies as claimed in claim 1, wherein the slide post has a rectangular cross-section.
4. The protective device for the intracavitary afterloading treatment of gynecological malignant tumors according to claim 1, wherein a handle is further fixedly arranged at the bottom of the threaded rod, and the handle and the threaded rod are connected by welding.
5. The protection device for the intracavitary afterloading treatment of gynecological malignant tumors according to claim 1, wherein a connecting water pipe is further fixedly arranged on the left side of the water pump, the connecting water pipe is connected with the water pump by internal and external threads, a liquid storage bag is further fixedly arranged on the left side of the connecting water pipe, and the liquid storage bag is connected with the connecting water pipe by hot melting.
CN202010167847.4A 2020-03-11 2020-03-11 Protection device for applying intra-cavity after-loading therapy to gynecological malignant tumor Active CN113384821B (en)

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CN114209993B (en) * 2021-12-07 2023-07-11 中国人民解放军空军军医大学 Gynaecology and obstetrics intracavity radiotherapy is exempted from to fill and is used source ware
CN116943053B (en) * 2023-09-06 2024-06-07 广东省新兴激光等离子体技术研究院 Particle beam dose adjusting device and method thereof, and radiotherapy equipment

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