CN116831718A - Control method, device and medium for prostate steam ablation - Google Patents

Control method, device and medium for prostate steam ablation Download PDF

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CN116831718A
CN116831718A CN202310873724.6A CN202310873724A CN116831718A CN 116831718 A CN116831718 A CN 116831718A CN 202310873724 A CN202310873724 A CN 202310873724A CN 116831718 A CN116831718 A CN 116831718A
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ablation
steam
gun
treated
prostate
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陈春来
王光明
杨波
杨旻
陈�峰
李孝锋
赵朔
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Haixun Medical Technology Suzhou Co ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/361Image-producing devices, e.g. surgical cameras
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00547Prostate
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00696Controlled or regulated parameters
    • A61B2018/00714Temperature
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00982Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B2018/044Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating the surgical action being effected by a circulating hot fluid
    • A61B2018/048Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating the surgical action being effected by a circulating hot fluid in gaseous form
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation
    • A61B2090/378Surgical systems with images on a monitor during operation using ultrasound

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Abstract

The application discloses a control method, a device and a medium for prostate steam ablation, wherein the control method for prostate steam ablation is applied to steam ablation equipment, the steam ablation equipment comprises an ablation gun, and the control method comprises the following steps: acquiring image information of a target area of a patient to be treated and current ablation gun information; determining the region to be treated and the treatment times according to the image information; controlling the ablation gun to perform steam ablation treatment on the area to be treated according to the treatment times, and updating the information of the ablation gun; and stopping treatment when the total treatment times of the ablation gun in the ablation gun information reach the preset times.

Description

Control method, device and medium for prostate steam ablation
Technical Field
The application belongs to the technical field of communication, and particularly relates to a control method, a device and a medium for prostate steam ablation.
Background
Benign Prostatic Hyperplasia (BPH) is a common disease in middle-aged and elderly men, and its prevalence increases with age. More than half of men have symptoms of BPH at age 50 and nearly 90% of men have symptoms of prostatic hypertrophy at age 70. The severity of the symptoms also increased with age, with 27% of patients in the age range 60-70 years having moderate to severe symptoms and 37% of patients in the age range 70 years having moderate to severe symptoms.
Similar to histological manifestations, with age, symptoms such as difficulty in urination increase. About 50% of men with histologically diagnosed BPH have moderate to severe lower urinary tract symptoms. Early in life, the prostate has the size and shape of a walnut, weighing about 20 grams before hypertrophy results from BPH. Enlargement of the prostate appears to be a normal process. With age, the size of the prostate increases gradually to twice or more of its normal size. After the gland reaches a certain size, the fibromuscular tissue of the outer prostate capsule restricts expansion. Due to this restriction on expansion, the intracapsular tissue will press against and restrict the prostatic urethra, thereby causing resistance to urine flow.
The lower urinary tract symptoms caused by BPH are mainly represented by the symptoms of urination stage, post urination and related complications. The various symptoms may occur sequentially or develop progressively throughout the course of the disease. Some patients may develop overactive bladder (OAB), a syndrome characterized by symptoms of urgency, often accompanied by frequent urination and nocturia, with or without urge incontinence.
Benign prostatic hyperplasia surgery can be classified as invasive surgery and non-invasive surgery. Among them, invasive surgery mainly includes transurethral prostatectomy, holmium laser prostatectomy, and other methods of improving the ablation means. Transurethral prostatectomy is a standard method of treatment for prostate hyperplasia surgery and is highly demanding for the operator. The invasive surgery has the advantages of obvious symptom improvement, low reoperation rate, and multiple adverse reactions and has influence on sexual function; non-invasive surgery may be referred to as minimally invasive surgery. Minimally invasive therapy has been shown to improve the urethral symptoms caused by prostatic hypertrophy with minimal invasiveness and minimal post-operative complications.
The steam ablation device has unique advantages, small trauma and stable effect in the operation time period, but the current steam ablation device needs to be operated by relying on experience of operators and lacks an intelligent control method.
Disclosure of Invention
The application provides a control method, a device and a medium for prostate steam ablation, and aims to solve the technical problems.
In order to achieve the above object, the present application provides a control method of steam ablation of a prostate, which is applied to a steam ablation apparatus including an ablation gun, characterized in that the control method includes:
acquiring image information of a target area of a patient to be treated and current ablation gun information;
determining the region to be treated and the treatment times according to the image information;
controlling the ablation gun to perform steam ablation treatment on the area to be treated according to the treatment times, and updating the information of the ablation gun;
and stopping treatment when the total treatment times of the ablation gun in the ablation gun information reach the preset times.
Preferably, in the control method of prostate steam ablation, the step of determining the area to be treated and the number of treatments according to the image information includes:
determining a current volume of each portion of the prostate from the image information;
the area to be treated and the number of treatments are determined based on the current volume and the normal volume of each part of the prostate.
Preferably, in the control method of prostate steam ablation, the step of determining the area to be treated and the number of treatments according to the current volume and the normal volume of each part of the prostate comprises:
and when the ratio of the current volume to the normal volume of each part of the prostate is larger than the preset ratio, determining the area to be treated and the treatment times.
Preferably, in the control method of prostate steam ablation, the step of determining the area to be treated and the number of treatments according to the current volume and the normal volume of each part of the prostate comprises:
determining a region to be treated according to the current volume and the normal volume of each part of the prostate;
determining the distance from the bladder neck to the verruca;
and determining the treatment times of the area to be treated according to the distance from the bladder neck to the verruca verrucosa.
Preferably, in the control method of prostate steam ablation, the region to be treated includes a middle lobe;
correspondingly, after the step of determining the treatment times of the area to be treated according to the distance from the bladder neck to the verruca, the control method comprises the following steps:
and correcting the treatment times of the middle lobe of the area to be treated according to the size of the middle lobe.
Preferably, in the control method for steam ablation of prostate, the step of controlling the ablation gun to perform steam ablation treatment on the area to be treated according to the treatment times and updating the ablation gun information includes:
controlling a steam ablation device to heat the sterile liquid preheated to a critical steam state to a steam state, so that steam is output from an ablation gun to perform steam ablation treatment on the area to be treated according to the treatment times;
updating the ablation gun information.
Preferably, in the control method of prostate steam ablation, the control steam ablation device heats the sterile liquid preheated to the critical steam state to the steam state, so that the steam is output from the ablation gun to perform steam ablation treatment on the area to be treated according to the treatment times, the flow rate of the steam is 0.42ml/9s, and the treatment time is 9s-15s each time.
In order to achieve the above object, the present application provides a control device for steam ablation of prostate, comprising:
the acquisition unit is used for acquiring image information of a target area of a patient to be treated and current ablation gun information;
the determining unit is used for determining the area to be treated and the treatment times according to the image information;
the control unit is used for controlling the ablation gun to perform steam ablation treatment on the area to be treated according to the treatment times and updating the ablation gun information;
and the judging unit is used for stopping treatment when the total treatment times of the ablation gun in the ablation gun information reach the preset times.
In order to achieve the above object, the present application provides a steam ablation apparatus including:
at least one processor; the method comprises the steps of,
a memory communicatively coupled to the at least one processor; wherein,,
the memory stores instructions executable by the at least one processor to enable the at least one processor to perform the control method of steam ablation of the prostate as described above.
In order to achieve the above object, the present application provides a computer-readable storage medium storing a computer program, wherein the computer program, when executed by a processor, implements a control method for steam ablation of a prostate as described above.
The technical scheme provided by the application has at least the following advantages:
the method comprises the steps of obtaining image information of a target area of a patient to be treated and current ablation gun information; determining the region to be treated and the treatment times according to the image information; controlling the ablation gun to perform steam ablation treatment on the area to be treated according to the treatment times, and updating the information of the ablation gun; when the total treatment times of the ablation gun in the ablation gun information reach the preset times, stopping treatment, so that an intelligent control method of steam ablation can be realized, and the treatment effect is more stable without depending on the experience of doctors.
Further, in terms of intelligence, the prior art is too dependent on the doctor's technology, but the application can determine the area to be treated and the treatment times in real time according to the condition (such as the volume size) of different parts determined by the image information, and can prevent repeated treatment for multiple times;
furthermore, the prior art cannot detect the condition of the repeated use of the consumable, and the information of the ablation gun is updated after each treatment, and when the total treatment times of the ablation gun in the information of the ablation gun reach the preset times, the treatment is stopped in time, so that the repeated use of the consumable after sterilization can be prevented, and the treatment effect is uncontrollable.
Drawings
In order to more clearly illustrate the embodiments of the present application or the technical solutions in the prior art, the drawings that are needed in the description of the embodiments or the prior art will be briefly described, and it is obvious that the drawings in the description below are some embodiments of the present application, and other drawings can be obtained according to the drawings without inventive effort for a person skilled in the art.
FIG. 1 is a schematic diagram of a control method of steam ablation of the prostate of the present application in a first embodiment;
FIG. 2 is a schematic diagram of a control method of steam ablation of the prostate of the present application in a second embodiment;
FIG. 3 is a schematic view of an embodiment of a control device for steam ablation of the prostate of the present application;
fig. 4 is a schematic view of an embodiment of a vapor ablation device.
The achievement of the objects, functional features and advantages of the present application will be further described with reference to the accompanying drawings, in conjunction with the embodiments.
Detailed Description
In the embodiment of the application, the term "and/or" describes the association relation of the association objects, which means that three relations can exist, for example, a and/or B can be expressed as follows: a exists alone, A and B exist together, and B exists alone. The character "/" generally indicates that the context-dependent object is an "or" relationship.
It should be noted that the terms "first," "second," and the like in the description and the claims of the present application and the above figures are used for distinguishing between similar objects and not necessarily for describing a particular sequential or chronological order.
The term "plurality" in embodiments of the present application means two or more, and other adjectives are similar.
For the purpose of making the objects, technical solutions and advantages of the embodiments of the present application more apparent, the embodiments of the present application will be described in detail below with reference to the accompanying drawings. However, it will be understood by those of ordinary skill in the art that in various embodiments of the present application, numerous specific details are set forth in order to provide a thorough understanding of the present application. However, the claimed technical solution of the present application can be realized without these technical details and various changes and modifications based on the following embodiments. The following embodiments are divided for convenience of description, and should not be construed as limiting the specific implementation of the present application, and the embodiments can be mutually combined and referred to without contradiction.
In order to solve the above-described problems, the present embodiment relates to a control method of steam ablation of a prostate, which is applied to a steam ablation apparatus including an ablation gun.
Implementation details of the control method for prostate steam ablation according to the first embodiment of the present application are described below, and the following details are provided only for convenience of understanding, and are not necessary to implement the present embodiment.
The specific flow of this embodiment is shown in fig. 1, and the control method includes:
step S100, obtaining image information of a target area of a patient to be treated and current ablation gun information;
it should be understood that the image of the target area of the patient to be treated may be a color ultrasound image obtained in advance, or may be an image obtained by an imaging device on an endoscope of an ablation gun, which is not particularly limited herein.
More specifically, each patient to be treated is provided with a unique identification number (such as a hospitalization number), and an image of the patient to be treated (the image may be a color Doppler ultrasound of the patient to be treated) in the server can be acquired through the hospitalization number; the method can also obtain the volume of the middle lobe, the lateral lobe and other positions of the prostate of the patient from a server and then model the corresponding prostate region to obtain the image information of the target region.
The target region refers to the prostate region of the patient to be treated.
Step S200, determining a region to be treated and the treatment times according to the image information;
it should be understood that the determination of the region to be treated by the image information may be the determination of the abnormal region from the image information, for example, if the volume of each part is greater than a preset threshold value compared to the normal volume, then the part is considered abnormal; the area to be treated and the number of treatments may also be determined in response to an input instruction from the user, for example, the operator selects the prostate treatment area and the number of treatments based on image information (which may be displayed in the form of a graphical interface for the operator to operate).
It should be noted that, the real-time image information is used as the basis of the operation treatment to determine the region to be treated and the treatment times, which is convenient for the doctor to refer to before operation and prevents the doctor from repeating the treatment for a plurality of times in a certain region.
In specific implementation, the step S200 includes:
step S210, determining the current volume of each part of the prostate according to the image information;
it should be understood that the prostate includes anterior, middle, posterior, etc., for example, assuming a volume of 20cm for the left lobe of the prostate 3 If the volume of the left lobe of the prostate appears to be 40cm 3 The left leaf is considered abnormal.
Step S220, determining the area to be treated and the treatment times according to the current volume and the normal volume of each part of the prostate.
It should be understood that, according to the current volume and the normal volume of each part of the prostate, the area to be treated and the treatment times are determined, and may be set at a first threshold value, for example, when the current volume of the left lobe of the prostate, i.e. the normal volume of the left She Tiji, is greater than the first threshold value, then the left lobe of the prostate is considered to need treatment; it is also possible to determine the area to be treated and the number of treatments when the ratio of the current volume to the normal volume of each part of the current prostate is greater than a preset ratio. After determining the area to be treated, the number of treatments for that area may be determined based on the size of the area.
In specific implementation, step S220 includes:
step S221, determining a region to be treated according to the current volume and the normal volume of each part of the prostate;
it should be understood that the area to be treated is determined according to the current volume and the normal volume of each part of the prostate, and the left She Wei cases of the prostate may be that the difference between the left She Dangqian volume and the normal volume is greater than the first threshold, or that the ratio of the left She Dangqian volume to the normal volume is greater than the second threshold, and the left lobe is considered the area to be treated, or in other embodiments, the first threshold and the second threshold may be determined according to different parts of the prostate, which is not particularly limited herein. For example, for the left leaf, the first threshold is 10cm 3 The method comprises the steps of carrying out a first treatment on the surface of the For the right leaf, the first threshold is 12cm 3
Step S222, determining the distance from the bladder neck to the verruca, according to the image information;
step S223, determining the treatment times of the area to be treated according to the distance from the bladder neck to the verruca.
It should be understood that the area to be treated may be one or more including the left leaf, the right leaf, the rear leaf, etc. Specifically, the number of treatments per leaf of the area to be treated is determined based on whether the bladder neck to mons verrucosus distance is greater than a third threshold, as shown in table 1, table 1 illustrates an example of a treatment regimen.
Table 1 treatment frequency protocol
Distance from bladder neck to verruca verrucosa Number of treatments per leaf of the area to be treated
≤2.0cm 1-2 times
2.0cm-3.0cm 2-3 times
≥3.0cm 3-4 times
Assuming that the area to be treated comprises a left lobe, the number of left lobe treatments may be determined based on the distance from the bladder neck to the verruca, for example, based on table 1.
In addition, if the proliferation of the central area results in the rise of the bladder neck, the treatment times for the enlarged central area with the distance from the bladder neck to the verructus verrucosus being less than 2cm are 1 time, and the treatment times for the enlarged central area with the distance from the bladder neck to the verrucosus being more than 2 times.
Further, the area to be treated comprises a middle lobe; accordingly, after the step S223, the control method includes:
step S224, correcting the number of times of treatment of the middle lobe of the area to be treated according to the size of the middle lobe.
Step S300, controlling the ablation gun to perform steam ablation treatment on the area to be treated according to the treatment times, and updating the information of the ablation gun;
it should be appreciated that since the ablation gun information includes the usage of the ablation gun, and since the number of uses per hyperthermia ablation catheter is limited, e.g., up to 15 uses per hyperthermia ablation catheter, the usage of the ablation gun is updated after each treatment, which may facilitate recording the usage of the consumable.
And step S400, stopping treatment when the total treatment times of the ablation gun in the ablation gun information reach the preset times.
It should be appreciated that by determining the total number of treatments of the ablation gun in the ablation gun information, the consumable can be placed for repeated use after sterilization, resulting in uncontrollable treatment. The preset number of times may be set according to specific requirements, and in this embodiment, the preset number of times is 15 times.
Generally, after step S400, the control method further includes sending a prompt that the number of times of treatment of the ablation gun reaches more than a preset number of times when the number of times of treatment of the ablation gun is more than the preset number of times.
The method comprises the steps of obtaining image information of a target area of a patient to be treated and current ablation gun information; determining the region to be treated and the treatment times according to the image information; controlling the ablation gun to perform steam ablation treatment on the area to be treated according to the treatment times, and updating the information of the ablation gun; when the total treatment times of the ablation gun in the ablation gun information reach the preset times, stopping treatment, so that an intelligent control method of steam ablation can be realized, and the treatment effect is more stable without depending on the experience of doctors.
Further, in terms of intelligence, the prior art is too dependent on the doctor's technology, but the application can determine the area to be treated and the treatment times in real time according to the condition (such as the volume size) of different parts determined by the image information, and can prevent repeated treatment for multiple times;
furthermore, the prior art cannot detect the condition of the repeated use of the consumable, and the information of the ablation gun is updated after each treatment, and when the total treatment times of the ablation gun in the information of the ablation gun reach the preset times, the treatment is stopped in time, so that the repeated use of the consumable after sterilization can be prevented, and the treatment effect is uncontrollable.
As shown in fig. 2, in a second embodiment of the control method for steam ablation of prostate provided by the present application, the step S300 includes:
step S310, controlling a steam ablation device to heat the sterile liquid preheated to a critical steam state to a steam state, so that steam is output from an ablation gun to perform steam ablation treatment on the area to be treated according to the treatment times;
it should be appreciated that the sterile fluid is directly heated from the critical vapor state to the vapor state by the vapor ablation device, so that the heating rate is high, the output energy is uniform and stable, and the energy application is efficient. The sterile liquid is exemplified by sterile water, the sterile water can be changed into a steam state when the temperature reaches above 103 ℃, the critical steam state can be defined at 90-100 ℃, the critical steam state can be defined at the steam state which is different by about 5 degrees, in other embodiments, the temperature of the critical steam state can be set smaller if the heating power of the steam generating device is larger according to the heating power of the steam generating device; assuming that the heating power of the steam generating means is small, the temperature of the critical steam state can be set to be larger. The temperature of the critical vapor state may also be determined by the user according to the need, and is not particularly limited herein.
The first preset condition may include a steam flow rate and a treatment time, and generally the treatment time is not easy to be too long, and the patient is easy to be scalded. In this embodiment, the first preset condition includes: the steam flow rate is 0.42ml/9s, and the treatment time is 9s-15s. The treatment time can be 10s, 11s, 12s or 13s, and can also be determined according to different conditions.
The steam ablation device is controlled to heat the sterile liquid preheated to the critical steam state to above 103 ℃, and steam flows out of the ablation gun at the flow rate of 0.42ml/9s for treatment for 9s-15s.
It should be appreciated that too fast a flow rate of the sterile liquid may result in a portion of the sterile liquid not being heated to a vapor state in time, thus resulting in uneven vapor flow, in this embodiment, the flow rate of the vapor is controlled to be 0.42ml/9s. The treatment time is controlled to be 9s-15s, so that the treatment effect can be achieved, and the patient can be prevented from being scalded. In other embodiments, it may be dependent on different conditions.
Further, in terms of uniformity of energy output, compared with the treatment interval on the market without a temperature maintenance function, the application adopts the steps of preheating the sterile liquid to a critical steam state, heating the sterile liquid from the critical steam state to the steam state when the treatment is carried out, so that the output energy is more uniform and stable, and large-scale heating is not needed;
further, compared with the low-temperature heating to the steam temperature on the market, the application adopts the heating from the critical steam state to the steam state (for example, from 100 ℃ to 103 ℃), and has the advantages of high heating speed and high energy application efficiency;
further, in the aspect of pressure stabilization in the ablation gun, compared with the treatment interval on the market, the application has no temperature maintenance function, when receiving an instruction for stopping treatment, the application controls the sterile liquid to be heated to a critical steam state for maintenance, so that the pressure in the steam needle is kept stable, and reflux and suck-back tissue residues caused by unstable pressure are avoided, the pressure in the needle head is stable, and reflux and suck-back of the tissue residues are avoided.
Step S320, updating the ablation gun information.
As shown in fig. 3, the first embodiment of the control device for prostate steam ablation provided by the present application includes an acquisition unit 501, a determination unit 502, a control unit 503, and a judgment unit 504, wherein,
the acquiring unit 501 is configured to acquire image information of a target area of a patient to be treated and current ablation gun information;
it should be understood that the image of the target area of the patient to be treated may be a color ultrasound image obtained in advance, or may be an image obtained by an imaging device on an endoscope of an ablation gun, which is not particularly limited herein.
More specifically, each patient to be treated is provided with a unique identification number (such as a hospitalization number), and an image of the patient to be treated (the image may be a color Doppler ultrasound of the patient to be treated) in the server can be acquired through the hospitalization number; the method can also obtain the volume of the middle lobe, the lateral lobe and other positions of the prostate of the patient from a server and then model the corresponding prostate region to obtain the image information of the target region.
The target region refers to the prostate region of the patient to be treated.
The determining unit 502 is configured to determine a region to be treated and the number of treatments according to the image information;
it should be understood that the determination of the region to be treated by the image information may be the determination of the abnormal region from the image information, for example, if the volume of each part is greater than a preset threshold value compared to the normal volume, then the part is considered abnormal; the area to be treated and the number of treatments may also be determined in response to an input instruction from the user, for example, the operator selects the prostate treatment area and the number of treatments based on image information (which may be displayed in the form of a graphical interface for the operator to operate).
It should be noted that, the real-time image information is used as the basis of the operation treatment to determine the region to be treated and the treatment times, which is convenient for the doctor to refer to before operation and prevents the doctor from repeating the treatment for a plurality of times in a certain region.
The control unit 503 is configured to control the ablation gun to perform steam ablation treatment on the area to be treated according to the treatment times, and update the ablation gun information;
it should be appreciated that since the ablation gun information includes the usage of the ablation gun, and since the number of uses per hyperthermia ablation catheter is limited, e.g., up to 15 uses per hyperthermia ablation catheter, the usage of the ablation gun is updated after each treatment, which may facilitate recording the usage of the consumable.
The judging unit 504 is configured to stop the treatment when the total treatment times of the ablation gun in the ablation gun information reach a preset number of times.
It should be appreciated that by determining the total number of treatments of the ablation gun in the ablation gun information, the consumable can be placed for repeated use after sterilization, resulting in uncontrollable treatment. The preset number of times may be set according to specific requirements, and in this embodiment, the preset number of times is 15 times.
The method comprises the steps of obtaining image information of a target area of a patient to be treated and current ablation gun information; determining the region to be treated and the treatment times according to the image information; controlling the ablation gun to perform steam ablation treatment on the area to be treated according to the treatment times, and updating the information of the ablation gun; when the total treatment times of the ablation gun in the ablation gun information reach the preset times, stopping treatment, so that an intelligent control method of steam ablation can be realized, and the treatment effect is more stable without depending on the experience of doctors.
Further, in terms of intelligence, the prior art is too dependent on the doctor's technology, but the application can determine the area to be treated and the treatment times in real time according to the condition (such as the volume size) of different parts determined by the image information, and can prevent repeated treatment for multiple times;
furthermore, the prior art cannot detect the condition of the repeated use of the consumable, and the information of the ablation gun is updated after each treatment, and when the total treatment times of the ablation gun in the information of the ablation gun reach the preset times, the treatment is stopped in time, so that the repeated use of the consumable after sterilization can be prevented, and the treatment effect is uncontrollable.
To achieve the above object, the present application also provides a steam ablation apparatus, as shown in fig. 4, the server includes at least one processor 601; and a memory 602 communicatively coupled to the at least one processor 601; wherein the memory 602 stores instructions executable by the at least one processor 601, the instructions being executable by the at least one processor 601 to enable the at least one processor 601 to perform a control method of steam ablation of the prostate.
Where the memory 602 and the processor 601 are connected by a bus, the bus may comprise any number of interconnected buses and bridges, the buses connecting the various circuits of the one or more processors 601 and the memory 602. The bus may also connect various other circuits such as peripherals, voltage regulators, and power management circuits, which are well known in the art, and therefore, will not be described any further herein. The bus interface provides an interface between the bus and the transceiver. The transceiver may be one element or may be a plurality of elements, such as a plurality of receivers and transmitters, providing a means for communicating with various other apparatus over a transmission medium. The data processed by the processor 601 is transmitted over a wireless medium via an antenna, which further receives the data and transmits the data to the processor 601.
The processor 601 is responsible for managing the bus and general processing and may also provide various functions including timing, peripheral interfaces, voltage regulation, power management, and other control functions. And memory 602 may be used to store data used by processor 601 in performing operations.
In order to achieve the above object, the present application provides a computer-readable storage medium storing a computer program which, when executed by a processor, implements the above-described control method of prostate steam ablation.
That is, it will be understood by those skilled in the art that all or part of the steps in implementing the methods of the embodiments described above may be implemented by a program stored in a storage medium, where the program includes several instructions for causing a device (which may be a single-chip microcomputer, a chip or the like) or a processor (processor) to perform all or part of the steps in the methods of the embodiments of the present application. And the aforementioned storage medium includes: a usb disk, a removable hard disk, a Read-only Memory (ROM), a random access Memory (RAM, random Access Memory), a magnetic disk, or an optical disk, or other various media capable of storing program codes.
It will be apparent that the embodiments described above are merely some, but not all, embodiments of the application. Based on the embodiments of the present application, those skilled in the art may make other different changes or modifications without making any creative effort, which shall fall within the protection scope of the present application.

Claims (10)

1. A control method of steam ablation of a prostate, applied to a steam ablation apparatus including an ablation gun, the control method comprising:
acquiring image information of a target area of a patient to be treated and current ablation gun information;
determining the region to be treated and the treatment times according to the image information;
controlling the ablation gun to perform steam ablation treatment on the area to be treated according to the treatment times, and updating the information of the ablation gun;
and stopping treatment when the total treatment times of the ablation gun in the ablation gun information reach the preset times.
2. The method of controlling steam ablation of the prostate according to claim 1, wherein the step of determining the region to be treated and the number of treatments based on the image information includes:
determining a current volume of each portion of the prostate from the image information;
the area to be treated and the number of treatments are determined based on the current volume and the normal volume of each part of the prostate.
3. The method of controlling steam ablation of the prostate according to claim 2, wherein the step of determining the region to be treated and the number of treatments based on the current volume and the normal volume of each portion of the prostate comprises:
and when the ratio of the current volume to the normal volume of each part of the prostate is larger than the preset ratio, determining the area to be treated and the treatment times.
4. The method of controlling steam ablation of the prostate according to claim 2, wherein the step of determining the area to be treated and the number of treatments based on the current volume and the normal volume of each portion of the prostate comprises:
determining a region to be treated according to the current volume and the normal volume of each part of the prostate;
determining the distance from the bladder neck to the verruca;
and determining the treatment times of the area to be treated according to the distance from the bladder neck to the verruca verrucosa.
5. The method of controlling steam ablation of the prostate of claim 4, wherein the area to be treated includes a middle lobe;
correspondingly, after the step of determining the treatment times of the area to be treated according to the distance from the bladder neck to the verruca, the control method comprises the following steps:
and correcting the treatment times of the middle lobe of the area to be treated according to the size of the middle lobe.
6. The method of controlling steam ablation of the prostate according to claim 2, wherein the step of controlling the ablation gun to perform steam ablation treatment on the region to be treated in accordance with the number of treatments and updating the ablation gun information includes:
controlling a steam ablation device to heat the sterile liquid preheated to a critical steam state to a steam state, so that steam is output from an ablation gun to perform steam ablation treatment on the area to be treated according to the treatment times;
updating the ablation gun information.
7. The method of controlling steam ablation of the prostate according to claim 6, wherein the control steam ablation apparatus heats the sterile liquid preheated to the critical steam state to the steam state so that the steam is outputted from the ablation gun to perform steam ablation treatment on the region to be treated for the number of treatments, the flow rate of the steam is 0.42ml/9s, and the treatment time per treatment is 9s-15s.
8. A control device for steam ablation of a prostate, comprising:
the acquisition unit is used for acquiring image information of a target area of a patient to be treated and current ablation gun information;
the determining unit is used for determining the area to be treated and the treatment times according to the image information;
the control unit is used for controlling the ablation gun to perform steam ablation treatment on the area to be treated according to the treatment times and updating the ablation gun information;
and the judging unit is used for stopping treatment when the total treatment times of the ablation gun in the ablation gun information reach the preset times.
9. A vapor ablation apparatus, comprising:
at least one processor; the method comprises the steps of,
a memory communicatively coupled to the at least one processor; wherein,,
the memory stores instructions executable by the at least one processor to enable the at least one processor to perform the control method of steam ablation of the prostate of any one of claims 1 to 7.
10. A computer-readable storage medium storing a computer program, wherein the computer program, when executed by a processor, implements the control method of steam ablation of the prostate according to any one of claims 1 to 7.
CN202310873724.6A 2023-07-17 2023-07-17 Control method, device and medium for prostate steam ablation Pending CN116831718A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202310873724.6A CN116831718A (en) 2023-07-17 2023-07-17 Control method, device and medium for prostate steam ablation

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202310873724.6A CN116831718A (en) 2023-07-17 2023-07-17 Control method, device and medium for prostate steam ablation

Publications (1)

Publication Number Publication Date
CN116831718A true CN116831718A (en) 2023-10-03

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