CN203777051U - Thoracolumbar surgery body surface positioner - Google Patents
Thoracolumbar surgery body surface positioner Download PDFInfo
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- CN203777051U CN203777051U CN201320840150.4U CN201320840150U CN203777051U CN 203777051 U CN203777051 U CN 203777051U CN 201320840150 U CN201320840150 U CN 201320840150U CN 203777051 U CN203777051 U CN 203777051U
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Abstract
A thoracolumbar surgery body surface positioner is characterized by comprising a rectangular frame ruler, a plurality of transverse positioning chains, a plurality of longitudinal positioning chains and three to five vertebral body lateral indication chains, wherein the rectangular frame ruler is formed by two long sides with scales and two wide sides with scales; one end of each transverse positioning chain is fixedly connected with one long side, the other end of each transverse positioning chain is fixedly connected with the other long side, and the transverse positioning chains are disposed in the rectangular frame ruler in parallel; one end of each longitudinal positioning chain is connected with one wide side in a magnetic attraction manner or a sliding manner, the other end of each longitudinal positioning chain is connected with the other wide side in a magnetic attraction manner or a sliding manner, and the longitudinal positioning chains are disposed in the rectangular frame ruler in parallel. Thus, grids are formed by the transverse positioning chains and the longitudinal positioning chains. One end of each vertebral body lateral indication chain is connected with one long side in a magnetic attraction manner or a sliding manner, and the other end of each vertebral body lateral indication chain is hung in the air. The thoracolumbar surgery body surface positioner can achieve quick and accurate positioning, reduces X-ray perspective frequency and is safe and reliable.
Description
Technical field
This utility model belongs to medical instruments field, is specifically related to a kind of breast lumbar surgery body surface locator.
Background technology
Thoracic vertebra, lumbar surgery often need the preoperative body surface location of carrying out, and mark operation on skin otch, puncture entry point, and previously the conventional preoperative localization method of breast lumbar vertebra has free-hand crista iliaca positioning mode, rib positioning mode, Kirschner wire positioning mode etc.Although crista iliaca localization method is very easy, quick, but due to the line of crista iliaca peak and the relation of waist 45 intervertebral spaces non-constant, if patient's obesity or regression, be difficult to find out peak and the interspinal interstice of crista iliaca, so adopt free-hand crista iliaca location often accurate not, particularly when target operation intervertebral space apart from waist 45 when far away, by touch, estimate location, result is just more prone to error, and this localization method depends on doctor's experience.Rib positioning mode is had relatively high expectations to the definition of preoperative X-ray film and fluoroscopy during operation, and the gas of enteral and feces can affect the judgement to breast 12 ribs.In addition, because spinal column may exist congenital variation, as rib lack as, the judgement that easily leads to errors such as lumbarization, lumbar sacralization.Adopt Kirschner wire to carry out localizing objects operative region, remain clinical comparatively conventional method, the method need to repeatedly move " C " type arm X-ray machine and Kirschner wire, positioning time is longer, accuracy rate is also lower, and need to repeatedly have an X-rayed, and medical personnel and patient are repeatedly exposed under x-ray radiation.Also have the localizer location that adopts standard steel, although be better than traditional localization method, steel structure cannot close with health radian note, and localizer and skin exist larger spacing, and error also easily appears in location.These localization methods are safe and reliable not.For this reason, how to design the problem that a kind of breast lumbar surgery body surface locator that can fast, accurately locate and reduce X-ray examination number of times becomes this utility model research.
Summary of the invention
This utility model provides a kind of breast lumbar surgery body surface locator, its object be to solve current existing breast lumbar surgery location not accurate enough, make doctors and patients repeatedly be exposed to the problem under x-ray radiation.
For achieving the above object, the technical solution adopted in the utility model is: this breast lumbar surgery body surface locator comprises a rectangular shaped rim chi, a plurality of located lateral chain, a plurality of longitudinal register chain and three to five vertebral body side indication chains; Described rectangular shaped rim chi is comprised of two long limits and two broadsides, on two long limits and two broadsides, is equipped with scale; Described located lateral chain one end is fixedly connected with a described long limit wherein, and the other end of located lateral auxiliary scale is fixedly connected with another described long limit, and a plurality of located lateral chains are parallel to each other and are arranged in described rectangular shaped rim chi; One end of described longitudinal register chain is connected or is slidably connected with wherein described broadside is magnetic-type, the other end of vertical chain is connected or is slidably connected with another described broadside is magnetic-type, a plurality of longitudinal register chains are parallel to each other and are arranged in described rectangular shaped rim chi, with this, a plurality of located lateral chains and a plurality of longitudinal register chain form grid in described rectangular shaped rim chi; Indication one end of chain in described vertebral body side is connected or is slidably connected with a long limit of described rectangular shaped rim chi is magnetic-type, and vertebral body indicates the other end of chain unsettled.
Related content in technique scheme is explained as follows:
1,, in such scheme, described breast lumbar surgery body surface locator is applicable to posterior spinal operation, especially thoracic vertebra and lumbar segment.
2, in such scheme, the long limit of described rectangular shaped rim chi is as Y-axis, and broadside is as X-axis.
3, in such scheme, carrying out breast lumbar vertebra dypass when operation, this breast lumbar surgery body surface locator also comprises that one to three vertebral body side ranging rod, vertebral body rear ranging rod and one are for supporting the supporter of described vertebral body rear ranging rod; Described vertebral body side ranging rod is with scale, and be elongated shaft-like or strip, the length of vertebral body side ranging rod is greater than the length of the broadside of described rectangular shaped rim chi, vertebral body side ranging rod and the magnetic-type connection in described long limit or be slidably connected and parallel with described located lateral chain or overlap; Described vertebral body rear ranging rod is with scale, and is elongated shaft-like or strip; Described supporter is comprised of support and gripper shoe, and support and gripper shoe are hinged; Described vertebral body rear ranging rod is connected or is slidably connected with described gripper shoe is magnetic-type.Described supporter has two duties, and under folding state, described support and gripper shoe are closed up mutually, and under deployed condition, the angle between the supporting surface of described support and gripper shoe face is acute angle.
This utility model using method and beneficial effect are: breast lumbar surgery body surface locator of the present utility model, is applicable to the body surface location in thoracic vertebra, lumbar vertebral posterior or lumbar vertebra dypass operation process.At treatment thoracic vertebra or lumbar disease, carry out in the preoperative position fixing process of posterior approach, take patient ventricumbent position, by described breast lumbar surgery body surface locator rectangular shaped rim chi, be placed in patient back or waist, the Y-axis of rectangular shaped rim chi overlaps with spinous process line, and X-axis is vertical with spinous process line; Indication one end of chain, three to five vertebral body sides and the left side of described rectangular shaped rim chi be long, and limit is magnetic-type is connected or is slidably connected, and the other end is fitted also evenly distributed with patient left side waist body surface arc; The left side of one to three vertebral body side ranging rod and rectangular shaped rim chi is long, and limit is magnetic-type is connected or is slidably connected, and parallel with described located lateral chain or overlap; Described supporter is placed on operating-table and is parallel with trunk in the left side of patient body; A vertebral body rear ranging rod is parallel with the sagittal plane of trunk, vertical with vertebral body side ranging rod, and is connected or is slidably connected with supporter is magnetic-type.Carry out " C " type arm X-ray machine anteroposterior position X-ray examination, in image, in four of X-axis, Y-axis item limits, find accurately, fast hole, pedicle of vertebral arch between target intervertebral space, vertebral plate, determine puncture target spot, skin penetrating point; According to side position fluoroscopic image, determine inserting needle direction and the degree of depth, finally patient is punctured.
At treatment lumbar disease, carry out in lumbar vertebra dypass operation prelocalization process, breast lumbar surgery body surface locator is placed on waist, and patient's clinostatism, localizer method of attachment are identical with the preoperative location of lumbar disease posterior approach.Due to vertebral plate stop or vertebral plate between hole less, puncture needle cannot reach intervertebral disk hernia RF coagulation target spot from the way of escape, can only select dypass puncture.When percutaneous puncture needle angle is chosen as 45 ° when relatively constant, due to individual patients size, fat or thin difference, so the other puncture target spot skin of back projected correspondence point distance difference of opening of puncture entry point.Carry out " C " type arm X-ray machine anteroposterior position X-ray examination, in image, in four of X-axis, Y-axis item limits, find accurately, fast target intervertebral space, puncture target spot at back part skin projected correspondence point; Adjust vertebral body side ranging rod on target intervertebral space; In the fluoroscopic image of side position, find puncture target spot, because the line of puncture target spot and back part skin projected correspondence point is vertical with vertebral body side ranging rod, 45 ° of needle angles, point of puncture be on the line at ranging rod place, described vertebral body side.According to the equilateral principle of isosceles right triangle isogonism, puncture target spot to the distance of back part skin projected correspondence point equates with the distance of puncture entry point to back skin projected correspondence point.Thereby determine entry point, can calculate depth of needle simultaneously.Finally patient is punctured.
Breast lumbar surgery body surface locator of the present utility model, normotopia of preoperative need, side position perspective, can determine skin penetrating point, inserting needle direction and the degree of depth, puncture target spot accurately, fast, without repeatedly having an X-rayed, more safe and reliable.
Accompanying drawing explanation
Accompanying drawing 1 is that this utility model breast lumbar surgery body surface locator is at the first using state schematic diagram of human body waist;
Accompanying drawing 2 is that this utility model breast lumbar surgery body surface locator is at the second using state schematic diagram of human body waist.
In above accompanying drawing: 1, rectangular shaped rim chi; 2, located lateral chain; 3, longitudinal register chain; 4, vertebral body side indication chain; 5, vertebral body side ranging rod; 6, supporter; 7, vertebral body rear ranging rod; 8, support; 9, gripper shoe; 10, waist; 11, operating-table.
The specific embodiment
Below in conjunction with drawings and Examples, this utility model is further described:
Embodiment mono-: a kind of breast lumbar surgery body surface locator
Shown in accompanying drawing 1, accompanying drawing 1 represents that the breast lumbar surgery body surface locator of the present embodiment is placed in patient's waist 10 centres to carry out the using state reference view of posterior spinal operation, and this breast lumbar surgery body surface locator comprises 1,11 located lateral chains of a rectangular shaped rim chi 2, five longitudinal register chains 3 and three vertebral body sides indication chains 4; Described rectangular shaped rim chi 1 is comprised of two long limits and two broadsides, on two long limits and two broadsides, is equipped with scale; Described located lateral chain 2 one end are fixedly connected with a described long limit wherein, and the other end of located lateral auxiliary scale 2 is fixedly connected with another described long limit, and a plurality of located lateral chains 2 are parallel to each other and are arranged in described rectangular shaped rim chi 1; One end of described longitudinal register chain 3 and magnetic-type connection of described broadside wherein (the magnetic attraction by magnetic material is to reach the object of detachable connection), described broadside is magnetic-type is connected with another for the other end of vertical chain 3, a plurality of longitudinal register chains 3 are parallel to each other and are arranged in described rectangular shaped rim chi 1, with this, a plurality of located lateral chains 2 and a plurality of longitudinal register chain 3 are at the interior formation grid of described rectangular shaped rim chi 1; Indication one end of chain 4, described vertebral body side and magnetic-type a connection of long limit of described rectangular shaped rim chi 1, the other end of vertebral body indication chain 4 is unsettled.
Using method: in thoracic and lumbar vertebral posterior operation process, described breast lumbar surgery body surface locator is placed in to the centre at patient's waist 7 or back with treatment lumbar vertebra or thoracic vertebra, wherein, the long limit of rectangular shaped rim chi 1 is substantially parallel with spinal column, and broadside is substantially perpendicular to spinal column; Indication one end of chain 4, vertebral body side and magnetic-type a connection of long limit of described rectangular shaped rim chi 1, the remainder of vertebral body side indication chain 4 is according to patient body-surface physiology and appearance and patient body-surface laminating, the position of one end of mobile vertebral body side indication chain 4 on rectangular shaped rim chi 1 after perspective is developed, make vertebral body indication chain 4 parallel with vertebral body (for example after compression fracture of lumbar vertebra balloon angioplasty in protruding plasty, described vertebral body indicates chain to be used to indicate vertebral body position); With X-ray equipment, patient's lumbar vertebra or thoracic vertebra are had an X-rayed, according to fluoroscopy images, determine the concrete point of puncture for the treatment of target spot on body surface, and make a mark exactly on body surface by the grid in the scale on rectangular shaped rim chi 1 and rectangular shaped rim chi 1, finally patient is punctured.
Embodiment bis-: a kind of breast lumbar surgery body surface locator
Shown in accompanying drawing 2, accompanying drawing 2 represents that the breast lumbar surgery body surface locator of the present embodiment is placed in patient's waist 10 to carry out the using state reference view (the operation of spinal column dypass refers to from a kind of operation of the raking of patient's waist 10) of spinal column dypass operation, and the spinal operation body surface locator of the present embodiment is on the structure of embodiment mono-and the basis of structure, also to comprise that a vertebral body side ranging rod 5, vertebral body rear ranging rod 7 and one are for supporting the supporter 6 of described vertebral body rear ranging rod 7;
Described vertebral body side ranging rod 5 is with scale, and be elongated shaft-like or strip, the length of vertebral body side ranging rod 5 is greater than the length of the broadside of described rectangular shaped rim chi 1, and vertebral body side ranging rod 5 and the magnetic-type connection in described long limit are also parallel with described located lateral chain 2 or overlap;
Described vertebral body rear ranging rod 7 is with scale, and is elongated shaft-like or strip;
Described supporter 6 is comprised of support 8 and gripper shoe 9, and support 8 is hinged with gripper shoe 9; Described vertebral body rear ranging rod 7 and described magnetic-type connection of gripper shoe 9.
While being applied to after thoracic vertebra, lumbar vertebra compression fracture balloon angioplasty before protruding plasty body surface location, after the rectangular shaped rim chi 1 of described breast lumbar surgery body surface locator places, carry out anteroposterior position X-ray examination, according to developed image, in conjunction with preoperative image data, find treatment puncture target bilateral pedicle of vertebral place quadrant, labelling skin penetrating entry point; Described supporter 6 is placed on operating-table 11, mobile vertebral body side ranging rod 5 on the line of skin penetrating entry point, adjusting vertebral body rear ranging rod 7 intersects with vertebral body side ranging rod 5, adjust vertebral body side indication chain 4, as far as possible consistent with pedicle of vertebral arch axis, according to side position X-ray examination developed image, find vertebral body rear ranging rod 7 and vertebral body trailing edge line intersection point to be again; Then find vertebral body rear ranging rod 7 and vertebral body side ranging rod intersection point 5; Finally with reference to vertebral body side indication chain 4, find and intend puncture target, find pedicle of vertebral arch axis and vertebral body trailing edge line intersection point, finally determine actual inserting needle direction, labelling skin incision.
Explanation about embodiment mono-and embodiment bis-partial contents:
1, in above-described embodiment, one end of described longitudinal register chain 3 and wherein can be for being slidably connected between a described broadside, the broadside that is rectangular shaped rim chi 1 is provided with guide rail, one end of longitudinal register chain is provided with slide block, slide block and guide rail are slidably matched, and the other end of longitudinal register chain 3 and another described broadside are slidably connected; In like manner, described vertebral body side indication one end of chain 4 and a long limit of described rectangular shaped rim chi 1 can be slidably connected by coordinating with realization between guide rail and slide block; Described vertebral body side ranging rod 5 and described long limit also can be slidably connected by coordinating to realize between guide rail and slide block.
Above-described embodiment is only explanation technical conceive of the present utility model and feature, and its object is to allow person skilled in the art can understand content of the present utility model and implement according to this, can not limit protection domain of the present utility model with this.All equivalences of doing according to this utility model spirit change or modify, within all should being encompassed in protection domain of the present utility model.
Claims (2)
1. a breast lumbar surgery body surface locator, is characterized in that: this breast lumbar surgery body surface locator comprises a rectangular shaped rim chi (1), a plurality of located lateral chain (2), a plurality of longitudinal register chain (3) and three to five vertebral body side indication chains (4); Described rectangular shaped rim chi (1) is comprised of two long limits and two broadsides, on two long limits and two broadsides, is equipped with scale; Described located lateral chain (2) one end is fixedly connected with a described long limit wherein, the other end of located lateral chain (2) is fixedly connected with another described long limit, and a plurality of located lateral chains (2) are parallel to each other and are arranged in described rectangular shaped rim chi (1); One end of described longitudinal register chain (3) is connected or is slidably connected with wherein described broadside is magnetic-type, the other end of vertical chain (3) is connected or is slidably connected with another described broadside is magnetic-type, a plurality of longitudinal register chains (3) are parallel to each other and are arranged in described rectangular shaped rim chi (1), with this, a plurality of located lateral chains (2) and a plurality of longitudinal register chain (3) form grid in described rectangular shaped rim chi (1); One end of described vertebral body side indication chain (4) is connected or is slidably connected with a long limit of described rectangular shaped rim chi (1) is magnetic-type, and the other end of vertebral body indication chain (4) is unsettled.
2. breast lumbar surgery body surface locator according to claim 1, is characterized in that: this breast lumbar surgery body surface locator also comprises that one to three vertebral body side ranging rod (5), a vertebral body rear ranging rod (7) and one are for supporting the supporter (6) of described vertebral body rear ranging rod (7);
Described vertebral body side ranging rod (5) is with scale, and be elongated shaft-like or strip, the length of vertebral body side ranging rod (5) is greater than the length of the broadside of described rectangular shaped rim chi (1), vertebral body side ranging rod (5) and the magnetic-type connection in described long limit or be slidably connected and parallel with described located lateral chain (2) or overlap;
Described vertebral body rear ranging rod (7) is with scale, and is elongated shaft-like or strip;
Described supporter (6) is comprised of support (8) and gripper shoe (9), and support (8) is hinged with gripper shoe (9); Described vertebral body rear ranging rod (7) is connected or is slidably connected with described gripper shoe (9) is magnetic-type.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201320840150.4U CN203777051U (en) | 2013-12-19 | 2013-12-19 | Thoracolumbar surgery body surface positioner |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201320840150.4U CN203777051U (en) | 2013-12-19 | 2013-12-19 | Thoracolumbar surgery body surface positioner |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN203777051U true CN203777051U (en) | 2014-08-20 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201320840150.4U Expired - Fee Related CN203777051U (en) | 2013-12-19 | 2013-12-19 | Thoracolumbar surgery body surface positioner |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN203777051U (en) |
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2013
- 2013-12-19 CN CN201320840150.4U patent/CN203777051U/en not_active Expired - Fee Related
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| Date | Code | Title | Description |
|---|---|---|---|
| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant | ||
| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20140820 Termination date: 20151219 |
|
| EXPY | Termination of patent right or utility model |