CN209595793U - A kind of fixed device of breast puncture - Google Patents

Abstract

The utility model discloses a kind of fixed devices of breast puncture and its application method in aspiration biopsy medical instruments field; including ultrasonic high frequency probe, probe cable and diasonograph; ultrasonic high frequency probe is placed in the locating slot in the middle part of probe bracket; the front and rear sides of probe bracket are hinged with positioning splint; elastic hold-down mechanism is equipped between two pieces of positioning splints; one side bottom of positioning splint is equipped with elastic protective pad; the left and right sides of probe bracket is removably connected with guiding puncture module, and guiding puncture module is equipped at least four puncture needle guiding groove；The method includes the steps: mammary gland is sterilized, mammary gland and ultrasonic high frequency probe is fixed with positioning splint, after analyzing by diasonograph, finds out guiding puncture route.The utility model can have good positioning the positional relationship of high frequency ultrasound probe and breast lump, improve probe stationary, and more accurately selection punctures inserting needle path.

Description

A kind of fixed device of breast puncture

Technical field

The utility model belongs to aspiration biopsy medical instruments field, in particular to a kind of breast puncture is fixed device and its made Use method.

Background technique

Currently, guiding breast lump aspiration biopsy using diasonograph is the common method of Diagnosis of Breast cancer, this method Mammary gland inner disease foci position is detected by ultrasonic probe, ultrasonic probe is connected with diasonograph, after diasonograph analysis Occur guiding route over the display, puncture path can be prejudged, but disadvantage is that: in the prior art, Lack the device for fixing mammary gland and ultrasonic probe relative positional relationship, ultrasonic probe once generates small movement, practical Puncture path will be impacted, cause also can not accurately find lesions position even if prejudging out puncture path.And part disease Human milk glandular tissue more relaxes, and if old women endocrine dysfunction declines, skin, fat and body of gland significant degradation, atrophy cause Mammary gland relaxation, for another example glandular hyperplasia in lactating female breast, breast increase, and post-weaning, body of gland atrophy leads to breast relaxation It is sagging；The pressure that ultrasonic probe applies this kind of more loose mammary gland can be such that it produces into large range of movement, be unfavorable for solid Determine lesions position, if application pressure is too small, ultrasonic probe and mammary gland cannot be made to be bonded completely, influences diasonograph analysis Picture quality out.In addition, the most quality of breast cancer lesion is harder, if periphery breast tissue is relatively loose, when puncture needle arrives at Behind lesion edge, the harder lesion of quality can generate evacuation, and then reduce the success rate punctured.

Utility model content

One of the purpose of this utility model is to provide a kind of fixed device of breast puncture, can make up for it existing ultrasonic guidance cream Lump is easy the deficiency of evacuation when adenoncus block punctures, and the positional relationship of have good positioning high frequency ultrasound probe and breast lump is improved and visited Head stability, more accurately selection punctures inserting needle path, mitigates penetration damage, more accurately pathologic sampling.

Purpose of the utility model is realized as follows: a kind of fixed device of breast puncture, including ultrasonic high frequency probe, surpass Sound high frequency probe is connected by probe cable with diasonograph, and the ultrasound high frequency probe is placed in probe bracket vertically In the locating slot in portion, the search coverage of ultrasonic high frequency probe is located at below probe bracket, and the front and rear sides of probe bracket are hinged There is positioning splint, is equipped with elastic hold-down mechanism between two pieces of positioning splints, two pieces of positioning splints are V-shaped, and two pieces described fixed Clamping plate opposite side in position is equipped with the elastic protective pad below probe bracket, and ultrasonic high frequency is located on the probe bracket The left and right sides of probe offers module slot, is equipped with guiding puncture module, guiding puncture module and probe bracket in module slot It is detachably connected, the lower edge flush of guiding puncture module and ultrasonic high frequency probe, the guiding puncture module pair of the left and right sides Claim setting, corresponding ultrasonic high frequency probe is equipped at least four puncture needle guiding groove, the inclination of puncture needle guiding groove in guiding puncture module Through guiding puncture module, the tilt angle of each puncture needle guiding groove is different.

When utility model works, two pieces of positioning splints play the role of fixing, by breast lump and ultrasonic high frequency The position of probe is mutually fixed, and ultrasonic high frequency probe goes out the position of breast lump by ultrasonic listening, after diasonograph analysis Display shows guiding puncture route, selects each puncture needle guiding groove in the guiding puncture module of the left and right sides and punctures Guiding route is 1 corresponding, is punctured by the puncture needle guiding groove.Compared with prior art, the utility model has Beneficial effect is: two positioning splints can effectively fix breast tissue, and the mammary gland in puncture process is avoided to generate displacement or evacuation, Elastic hold-down mechanism can make positioning splint generate certain pressing force, avoid the opposite shifting between mammary gland and ultrasonic high frequency probe Dynamic, elastic protective pad is located on the inside of positioning splint, directly contacts with breast tissue, avoids the pressure injury to mammary gland epidermis, It is finally reached the purpose for improving ultrasonic high frequency probe stability；At least 4 puncture needles in the guiding puncture module of the left and right sides The direction of guiding groove matches with each guiding puncture route path planned in diasonograph, can select just from the left and right sides In the direction punctured, the lesion biopsy to different depth, different directions is completed, the mesh of venipuncture inserting needle path is reached 's.

The import of each puncture needle guiding groove is sequentially distributed from top to bottom as a further improvement of the utility model, On the outside of guiding puncture module, the outlet of each puncture needle guiding groove is intersected at 1 point, and the outlet of puncture needle guiding groove is located at guiding puncture On the inside of module.By the achievable lesion biopsy to different depth, different directions of 4 puncture needle guiding grooves, reach venipuncture The purpose of inserting needle path.

The guiding puncture module is connected by a snap with probe bracket as a further improvement of the utility model, is worn At least 1 is symmetrically arranged at left and right sides of thorn guiding module, and externally buckle, the corresponding outer buckle of the side wall of module slot are equipped with interior buckle.For The puncture needle of different model can be adaptable to select the guiding puncture module of different model by disassembly.

The puncture needle guiding groove of the guiding puncture module and puncture needle phase as a further improvement of the utility model, With setting, the model 18G or 14G of puncture needle.

The elastic hold-down mechanism is elasticity steel wire as a further improvement of the utility model, and elasticity steel wire is equipped with extremely Few 2, elasticity steel wire is V-shaped, and the both ends of elasticity steel wire are equipped with bending section, and positioning splint, which is equipped with, can hold positioning splint and pass through Through-hole, the bending section end of elasticity steel wire is connected with corresponding positioning splint.Elasticity steel wire generates pressing force to positioning splint, can To guarantee to clamp mammary gland.

The elastic protective pad is made of silica gel as a further improvement of the utility model, the bottom of elastic protective pad Portion is equipped with the parcel being coated on positioning splint downside.Parcel covers positioning splint comprehensively, guarantee mammary gland not with hardness Material avoids the pressure injury to mammary gland epidermis.

The two sides of the probe bracket are obliquely installed as a further improvement of the utility model, and positioning splint is fitted in The corresponding side surface of probe bracket.The technical solution guarantees that structure is more compact.

As a further improvement of the utility model, the display of the diasonograph can show several with respectively wear The one-to-one guiding puncture route of pricker guiding groove.The guiding puncture route finally shown according to diasonograph, from two The guiding puncture module of side selects paired puncture needle guiding groove.

The two of the purpose of this utility model are to provide a kind of application method of fixed device of breast puncture, can complete more loose Breast tissue can well be fixed, breast tissue is avoided to shift by the aspiration biopsy of relaxation breast lump, and it is relatively loose to improve ultrasonic guidance The success rate that breast lump punctures.

Purpose of the utility model is realized as follows: a kind of application method of the fixed device of breast puncture, including it is as follows Step:

(1) it carries out disinfection to the fixed device of breast puncture, and skin is marked with marking pen at patient's breast lump, Then at patient's breast lump and its surrounding wall of the chest carries out disinfection, ultrasonic high frequency probe is inserted in sterility protection set；

(2) ultrasonic high frequency probe is vertically placed in the locating slot of probe bracket, then probe cable is concluded it is smooth, And breast lump mark and around it is full and uniform smear sterile couplant, firmly pinching two positioning splint tops makes to position It is separated at the abutting of clamping plate lower part, until the distance between two positioning splints reach maximum；

(3) running fix clamping plate enters between two positioning splints by breast lump mark, so that mark is close to ultrasound high Frequently it pops one's head in, then unclamps the top of positioning splint, be bonded the elastic protective pad of two sides sufficiently with mammary gland and consolidated mammary gland and is swollen The relationship of block mark and ultrasonic high frequency probe；

(4) diasonograph is analyzed and determined that diasonograph display is shown by the detection of ultrasonic high frequency probe Suitable guiding puncture route out compares each puncture needle guiding groove in guiding puncture route and left and right sides guiding puncture module Positional relationship, to select corresponding puncture needle guiding groove；

(5) local anesthetic is injected to local breast tissue along above-mentioned puncture needle guiding groove, to drug dispersion 1-2min Afterwards, aspiration biopsy device is pierced into breast tissue along the puncture needle guiding groove, excites aspiration biopsy when reaching breast lump edge Device extracts aspiration biopsy device after materials, completes pathologic sampling.

Compared with prior art, the utility model has the beneficial effects that: the method for the utility model can will be relatively loose Mammary gland fix, reduce even avoid Mass in breast displacement, evacuation, bootable biopsy device precisely enters lesion, to mention The success rate that the relatively loose Mass in breast of high ultrasonic guidance punctures, this method are easy to operate and conveniently, and accurate positioning.

As a further improvement of the utility model, in the step (4), if can not find out and guiding puncture route phase Corresponding puncture needle guiding groove is moved forward and backward the positional relationship of breast lump and ultrasonic high frequency probe, until diasonograph is aobvious Show and show guiding puncture route corresponding with any puncture needle guiding groove on device, selects corresponding puncture needle guiding groove. The technical program is adjusted by the position to positioning splint, so that diasonograph finds out the guiding puncture route of adaptation, Corresponding puncture needle guiding groove is selected from guiding puncture module again.

Detailed description of the invention

Fig. 1 is the structural schematic diagram of the utility model.

Fig. 2 is the sectional view along AA of Fig. 1.

Fig. 3 is the BB of Fig. 1 to cross-sectional view.

Fig. 4 is the partial enlarged view of Fig. 3.

Fig. 5 is the schematic perspective view of outer buckle and interior buckle.

Fig. 6 is the main view of guiding puncture module.

Fig. 7 is the side view of guiding puncture module.

Fig. 8 is the structural schematic diagram of probe bracket and ultrasonic high frequency probe.

Fig. 9 is the location diagram of ultrasonic high frequency probe and guiding puncture module.

Wherein, 1 ultrasonic high frequency probe, 1a probe cable, 2 probe brackets, 2a locating slot, 2b module slot, 3 positioning splints, 4 Elastic protective pad, 4a parcel, 5 guiding puncture modules, 5a puncture needle guiding groove, 5a1 import, the outlet 5a2,6 elasticity steel wires, 6a Bending section, 7 buckle outside, buckle, 9 breast lumps, 10 search coverages in 8.

Specific embodiment

As shown in figs 1-9, logical for a kind of fixed device of breast puncture, including ultrasonic high frequency probe 1, ultrasonic high frequency probe 1 It crosses probe cable 1a to be connected with diasonograph, ultrasonic high frequency probe 1 is placed on the locating slot 2a at 2 middle part of probe bracket vertically Interior, the search coverage 10 of ultrasonic high frequency probe 1 is located at 2 lower section of probe bracket, and the front and rear sides of probe bracket 2 are hinged with positioning Clamping plate 3 is equipped with elastic hold-down mechanism between two pieces of positioning splints 3, and two pieces of positioning splints 3 are V-shaped, and two pieces of positioning splints 3 are opposite Side be equipped with the elastic protective pad 4 positioned at the lower section of probe bracket 2, the left and right of ultrasonic high frequency probe 1 is located on probe bracket 2 Two sides offer module slot 2b, are equipped with guiding puncture module 5 in module slot 2b, guiding puncture module 5 and probe bracket 2 are removable Connection is unloaded, the guiding puncture module 5 of the lower edge flush of guiding puncture module 5 and ultrasonic high frequency probe 1, the left and right sides is symmetrical It is arranged, corresponding ultrasonic high frequency probe 1 is equipped at least four puncture needle guiding groove 5a, puncture needle guiding groove 5a in guiding puncture module 5 Inclination runs through guiding puncture module 5, and the tilt angle of each puncture needle guiding groove 5a is different.The import of each puncture needle guiding groove 5a 5a1 is sequentially distributed from top to bottom in 5 outside of guiding puncture module, and the outlet 5a2 of each puncture needle guiding groove 5a is intersected at 1 point, wears The outlet 5a2 of pricker guiding groove 5a is located at 5 inside of guiding puncture module.Guiding puncture module 5 and probe bracket 2 are connected by buckle It connects, at least 1 is symmetrically arranged at left and right sides of guiding puncture module 5, and externally buckle 7, the corresponding outer buckle 7 of the side wall of module slot 2b are equipped with Interior buckle 8.The puncture needle guiding groove 5a of guiding puncture module 5 and puncture needle match setting, the model 18G of puncture needle or 14G.The elastic hold-down mechanism is elasticity steel wire 6, and elasticity steel wire 6 is equipped at least 2, and elasticity steel wire 6 is V-shaped, elasticity steel wire 6 Both ends be equipped with bending section 6a, positioning splint 3, which is equipped with, can hold the through-hole that positioning splint 3 passes through, the bending section of elasticity steel wire 6 The end 6a is connected with corresponding positioning splint 3.The elastic hold-down mechanism may be torsional spring.Elastic protective pad 4 uses silica gel system At the bottom of elastic protective pad 4 is equipped with the parcel 4a being coated on 3 downside of positioning splint.The two sides of probe bracket 2 tilt Setting, positioning splint 3 are fitted in the corresponding side surface of probe bracket 2.The display of the diasonograph can show several With each one-to-one guiding puncture route of puncture needle guiding groove 5a.

A kind of application method of the fixed device of above-mentioned breast puncture, includes the following steps:

(1) it carries out disinfection to the fixed device of breast puncture, and skin is marked with marking pen at patient's breast lump 9 Ultrasonic high frequency probe 1 is inserted in sterility protection set then at patient's breast lump 9 and its surrounding wall of the chest carries out disinfection by note；

(2) ultrasonic high frequency probe 1 is vertically placed in the locating slot 2a of probe bracket 2, then returns probe cable 1a Receive it is smooth, and 9 mark of breast lump and around it is full and uniform smear sterile couplant, firmly pinch two positioning splints 3 Top makes to separate at 3 lower part abutting of positioning splint, until the distance between two positioning splints 3 reach maximum；

(3) running fix clamping plate 3 allows 9 mark of breast lump to enter between two positioning splints 3, and mark is made to be close to ultrasound Then high frequency probe 1 unclamps the top of positioning splint 3, be bonded the elastic protective pad 4 of two sides sufficiently with mammary gland and consolidate good cream The relationship of 9 mark of adenoncus block and ultrasonic high frequency probe 1；

(4) diasonograph is analyzed and determined that diasonograph display is shown by the detection of ultrasonic high frequency probe 1 Suitable guiding puncture route out, each puncture needle compared in guiding puncture route and left and right sides guiding puncture module 5 guide The positional relationship of slot 5a, to select corresponding puncture needle guiding groove 5a；

(5) local anesthetic is injected to local breast tissue along above-mentioned puncture needle guiding groove 5a, to drug dispersion 1- After 2min, aspiration biopsy device is pierced into breast tissue along the puncture needle guiding groove 5a, excitation is worn when reaching 9 edge of breast lump Biopsy device is pierced, aspiration biopsy device is extracted after materials, completes pathologic sampling.

In the step (4), if puncture needle guiding groove 5a corresponding with guiding puncture route can not be found out, front and back is moved The positional relationship of dynamic breast lump 9 and ultrasonic high frequency probe 1, until being shown on diasonograph display and any puncture needle The corresponding guiding puncture route of guiding groove 5a selects corresponding puncture needle guiding groove 5a.

When the present apparatus works, two pieces of positioning splints 3 play the role of fixing, and breast lump 9 and ultrasonic high frequency are visited First 1 position is mutually fixed, and ultrasonic high frequency probe 1 goes out the position of breast lump 9 by ultrasonic listening, after diasonograph analysis Display shows guiding puncture route, select the left and right sides guiding puncture module 5 on each puncture needle guiding groove 5a with wear It is 1 corresponding to pierce guiding route, is punctured by puncture needle guiding groove 5a.The advantages of present apparatus, is: two positioning Clamping plate 3 can effectively fix breast tissue, avoid the mammary gland in puncture process from generating displacement or evacuation, elastic hold-down mechanism can make fixed Position clamping plate 3 generates certain pressing force, avoids the relative movement between mammary gland and ultrasonic high frequency probe 1, and elastic protective pad 4 is located at 3 inside of positioning splint, directly contacts with breast tissue, avoids the pressure injury to mammary gland epidermis, is finally reached raising ultrasound The purpose of 1 stability of high frequency probe；The direction of at least 4 puncture needle guiding groove 5a in the guiding puncture module 5 of the left and right sides It matches with each guiding puncture route path planned in diasonograph, can select to be convenient for puncture from the left and right sides Direction completes the lesion biopsy to different depth, different directions, achievees the purpose that venipuncture inserting needle path.This method can Relatively loose mammary gland is fixed, reduces and even avoids Mass in breast displacement, evacuation, bootable biopsy device precisely enters disease Stove, the success rate punctured to improve the relatively loose Mass in breast of ultrasonic guidance, this method are easy to operate and conveniently, and positioning accurate It is quasi-.

The utility model is not limited to above-described embodiment, on the basis of technical solution disclosed by the utility model, this For the technical staff in field according to disclosed technology contents, not needing creative labor can be special to some of which technology Sign makes some replacements and deformation, these replacements and deformation are within the protection scope of the present utility model.

Claims (8)

1. a kind of fixed device of breast puncture, including ultrasonic high frequency probe, ultrasonic high frequency probe are examined by probe cable and ultrasound Disconnected instrument is connected, which is characterized in that the ultrasound high frequency probe is placed on vertically in the locating slot in the middle part of probe bracket, and ultrasound is high The search coverage of frequency probe is located at below probe bracket, and the front and rear sides of probe bracket are hinged with positioning splint, described in two pieces Elastic hold-down mechanism is equipped between positioning splint, two pieces of positioning splints are V-shaped, and two pieces of opposite sides of the positioning splint are all provided with There is the elastic protective pad being located at below probe bracket, the left and right sides that ultrasonic high frequency probe is located on the probe bracket opens up There is module slot, is equipped with guiding puncture module in module slot, guiding puncture module is detachably connected with probe bracket, guiding puncture mould The guiding puncture module symmetry of the lower edge flush of block and ultrasonic high frequency probe, the left and right sides is arranged, in guiding puncture module Corresponding ultrasound high frequency probe is equipped at least four puncture needle guiding groove, and the inclination of puncture needle guiding groove runs through guiding puncture module, respectively wears The tilt angle of pricker guiding groove is different.

2. the fixed device of a kind of breast puncture according to claim 1, which is characterized in that each puncture needle guiding groove Import is sequentially distributed from top to bottom on the outside of guiding puncture module, and the outlet of each puncture needle guiding groove is intersected at 1 point, and puncture needle draws The outlet of guide groove is located on the inside of guiding puncture module.

3. the fixed device of a kind of breast puncture according to claim 1 or 2, which is characterized in that the guiding puncture module It is connected by a snap with probe bracket, at least 1 is symmetrically arranged at left and right sides of guiding puncture module and is externally buckled, the side wall of module slot Corresponding outer buckle is equipped with interior buckle.

4. the fixed device of a kind of breast puncture according to claim 3, which is characterized in that the guiding puncture module is worn Pricker guiding groove and puncture needle match setting, the model 18G or 14G of puncture needle.

5. the fixed device of a kind of breast puncture according to claim 1 or 2, which is characterized in that the elastic hold-down mechanism For elasticity steel wire, elasticity steel wire is equipped at least 2, and elasticity steel wire is V-shaped, and the both ends of elasticity steel wire are equipped with bending section, positioning Clamping plate, which is equipped with, can hold the through-hole that positioning splint passes through, and the bending section end of elasticity steel wire is connected with corresponding positioning splint.

6. the fixed device of a kind of breast puncture according to claim 1 or 2, which is characterized in that the elastic protective pad is adopted It is made of silica gel, the bottom of elastic protective pad is equipped with the parcel being coated on positioning splint downside.

7. the fixed device of a kind of breast puncture according to claim 1 or 2, which is characterized in that the two of the probe bracket Side is obliquely installed, and positioning splint is fitted in the corresponding side surface of probe bracket.

8. the fixed device of a kind of breast puncture according to claim 1 or 2, which is characterized in that the diasonograph Display can show several and the one-to-one guiding puncture route of each puncture needle guiding groove.