CN210872103U - Structure for three-dimensional positioning of brain lesion surgery - Google Patents

Structure for three-dimensional positioning of brain lesion surgery Download PDF

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Publication number
CN210872103U
CN210872103U CN201921076092.6U CN201921076092U CN210872103U CN 210872103 U CN210872103 U CN 210872103U CN 201921076092 U CN201921076092 U CN 201921076092U CN 210872103 U CN210872103 U CN 210872103U
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positioning
brain
dimensional
stereotactic localization
film
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CN201921076092.6U
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徐伟光
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First Affiliated Hospital of Guangdong Pharmaceutical University
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徐伟光
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Abstract

The utility model discloses a structure for three-dimensional positioning in brain lesion surgery, which comprises a pad pasting, wherein a plurality of small holes are arranged on the pad pasting; the one side of the sticking film, which is in contact fit with the human body, is provided with a viscose glue for sticking, and the other side of the sticking film is provided with a three-dimensional positioning part for three-dimensionally positioning a lesion area. The utility model has the advantages of simple operation, low cost and accurate operation positioning.

Description

Structure for three-dimensional positioning of brain lesion surgery
Technical Field
The utility model relates to the field of medical equipment, especially, relate to a structure that is used for brain pathological change operation stereotactic.
Background
Before brain lesion surgery, preoperative surgery positioning work needs to be performed. Due to the limitation of medical conditions, there are four methods for the currently used surgical localization of brain lesions, which are specifically as follows:
firstly, the operation is simple according to the free-hand positioning of a CT or MR film before the operation, but the subjectivity is strong, so that the positioning accuracy is insufficient, especially the minimally invasive operation of cerebral hemorrhage, the positioning deviation is easy to cause, the normal brain tissue is damaged, and the operation effect is influenced; secondly, multiple times of positioning guided by CT, a metal body mark is pasted on the approximate position of the lesion, the position of the metal body mark is adjusted to scan again according to the CT scanning result, and the positioning operation is more complicated and the defect of operation deviation exists; thirdly, positioning is carried out by means of a scalp positioning paste, the positioning is only carried out on one plane of an axial position, and three-dimensional positioning cannot be carried out, so that the puncture direction cannot be accurately grasped, and puncture success rate is reduced due to puncture direction errors; the stereotactic technique, the navigation technique, the 3D printing navigation technique and the like are applied to neurosurgical operation treatment, the positioning is accurate, but the cost is high, the operation is complex, and the popularization and the application in county-city hospitals are difficult at present.
Through the retrieval, it has looked into patent application number 201620738508.6, the chinese utility model patent of grant notice No. CN 206102753U, grant notice day 2017.04.19, it discloses a location membrane for among the interventional therapy, including the material be the location membrane body of non-woven fabrics, the location membrane body is divided into horizontal net of a plurality of and the vertical separation band b that sets up of a plurality of by the separation band an that a plurality of level set up and the separation band b of a plurality of, and the interval of a plurality of separation band a is 1cm, and the interval between two preceding separation bands b is 2cm, and the interval between all the other separation bands b is 1cm, and the back of location membrane body sets up the sticky tape, and the sticky tape is located the area of horizontal net and vertical net outside. According to the technology, through the arrangement of the separation belt a and the separation belt b, marks are left on a transverse grid and a longitudinal grid formed by the separation belt a and the separation belt b, then the transverse grid and the longitudinal grid are positioned in a cross mode, and the center point of the cross is the puncture site. However, the technology of the patent is adopted for puncture positioning, and due to the fact that countless grid-shaped positioning is adopted, puncture sites are left on some required points for puncture positioning, and three-dimensional positioning cannot be achieved, however, accurate positioning is just the key for success of neurosurgery.
Therefore, how to accurately locate the lesion of a patient needing surgical treatment without high-end equipment is a problem that every neurosurgeon needs to face, and particularly, how to realize stereotaxic positioning so that the lesion is more accurately located becomes a big problem to be solved.
SUMMERY OF THE UTILITY MODEL
The utility model aims to provide an easy operation, low cost and the accurate structure that is used for brain pathological change operation stereotaxis of operation location.
In order to achieve the above object, the utility model adopts the following technical scheme:
a structure for three-dimensional positioning of brain lesion surgery comprises a sticking film, wherein a plurality of small holes are formed in the sticking film; the one side of the sticking film, which is in contact fit with the human body, is provided with a viscose glue for sticking, and the other side of the sticking film is provided with a three-dimensional positioning part for three-dimensionally positioning a lesion area.
Preferably, the stereotactic portion includes at least 3 positioning bars which are not light-tight when CT is performed, and the positioning bars form a stereotactic region by intersecting a surrounding cage.
Preferably, the positioning strips are adjustable positioning strips movably arranged on the film, so that a three-dimensional positioning area with adjustable size is formed by the positioning strips through intersecting surrounding cages.
Preferably, the number of the positioning strips is 4, and the 4 positioning strips surround the cage to form a groined three-dimensional positioning area.
Preferably, a plurality of scale lines are arranged on the adhesive film, and the distance between each scale line and the corresponding positioning strip is 0.8-1.2 cm.
Preferably, the width of the positioning strip is 1.8-2.2 mm.
Preferably, the positioning strip is made of a calcium-containing material.
Preferably, the small holes are regularly arranged on the adhesive film to form a grid-shaped arrangement, wherein the diameter of the small holes is 0.7-0.9 mm, and the center distance between the small holes is 1.8-2.2 mm.
Preferably, the adhesive film is made of non-woven fabrics or plastics.
Due to the adoption of the structure, the beneficial effects of the utility model are as follows:
the utility model discloses a be equipped with the viscose that is used for pasting in pad pasting and human contact cooperation one side to and, be equipped with the stereotaxic portion that is used for stereotaxic pathological change region at this pad pasting another side, combine three-dimensional CT to carry out stereotaxic to brain pathological change through stereotaxic pathological change region, mark out the projection position of pathological change at the body surface, provide the foundation for operation incision and operation approach, can also provide the depth of penetration and puncture direction for the cerebral hemorrhage puncture art and provide the foundation. Particularly, the utility model discloses during the specific use, can mark head median line earlier, paste during the pad pasting, a location strip that the head is close to the median line is on a parallel with the median line, make pathological change roughly be located the stereotaxic region that the location strip encloses, paste going CT scanning behind the pad pasting, at the level of scanned image, the coronal position, two high density bright spots that are formed by the location strip on the scalp can all be seen to the sagittal position, measure the distance of each border scalp projection point of pathological change apart from the location bright spot, according to scale line and aperture position on the pad pasting, mark out the projection position of pathological change with the setting-out pen, the setting-out pen can pass through the aperture mark on the scalp, tear the pad pasting, leave an operation incision dotted line on the scalp, be comparatively obvious solid line with the setting-out pen, be the projection position of pathological change at the scalp promptly. Therefore, the utility model is simple in operation, fix a position accurately, low cost. The utility model discloses be fit for using in basic unit's hospital, have wide application prospect.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings required for the embodiments or the prior art descriptions will be briefly introduced below, and it is obvious that the drawings in the following description are only some embodiments of the present invention, and it is obvious for those skilled in the art to obtain other drawings without inventive labor.
Fig. 1 is a schematic view of the present invention.
Detailed Description
In the following description, numerous specific details are set forth in order to provide a more thorough understanding of the present invention. It will be apparent, however, to one skilled in the art, that the present invention may be practiced without one or more of these specific details. In other instances, well-known features have not been described in order to avoid obscuring the present invention.
In order to thoroughly understand the present invention, detailed steps and detailed structures will be provided in the following description so as to explain the technical solution of the present invention. The preferred embodiments of the present invention are described in detail below, however, other embodiments of the present invention are possible in addition to these detailed descriptions.
Referring to fig. 1, a structure for three-dimensional positioning in brain lesion surgery includes a patch 100, on which a plurality of small holes 2 are provided; one surface of the adhesive film 100, which is in contact fit with a human body, is provided with an adhesive for adhesion, and the other surface of the adhesive film 100 is provided with a three-dimensional positioning part for three-dimensionally positioning the lesion area 4.
In the present embodiment, the stereotactic portion includes 4 positioning bars 1 which are not light-tight when CT is performed, and the positioning bars 1 form a stereotactic region 4 by intersecting cages. In order to correspond to the size of the head of a patient and the size of a lesion area, the positioning strips 1 can be adjustable positioning strips movably arranged on the sticking film, so that a three-dimensional positioning area 4 with adjustable size is formed by the positioning strips 1 through intersecting surrounding cages.
In the present embodiment, a plurality of scale lines 3 are provided on the adhesive film 100, and each scale line 3 is spaced from the corresponding positioning bar 1 by 0.8 to 1.2 cm, for example, 1 cm. The width of the positioning strip 1 is 1.8-2.2 mm, such as 2 mm. The positioning strip 1 is made of a calcium-containing material and has the characteristic of light impermeability during CT, so that a visible three-dimensional positioning area 4 can be formed by a high-density shadow formed by the light impermeability of the positioning strip 1 during scanning, a lesion area can be accurately defined, and the size of the three-dimensional positioning area 4 can be adjusted by adjusting the positioning strip 1.
In the present embodiment, the small holes 2 are regularly arranged on the adhesive film 100 to form a grid-shaped arrangement, wherein the diameter of the small holes 2 is 0.7-0.9 mm, such as 0.8 mm, and the center distance between the small holes 2 is 1.8-2.2 mm, such as 2 mm. The film 100 is a non-woven fabric or a plastic film.
To brain pathological change excision, the utility model discloses during the specific use, shave light hair earlier before the operation, mark head median line, paste pad pasting 100 on pathological change side scalp according to brain pathological change's size and approximate position, a locating bar 1 that is close to the central line is on a parallel with the central line, make pathological change be located the stereotactic region 4 that the locating bar encloses roughly, paste going CT scan behind pad pasting 100, according to three-dimensional CT scan image, measure each border distance of pathological change apart from locating bar 1, according to the position of scale line 3 and aperture 22 on pad pasting 100, mark the projection position of pathological change with the setting-out pen, the setting-out pen can pass through aperture 2 mark on the scalp, tear off pad pasting 100, leave an operation incision dotted line on the scalp, be comparatively obvious solid line with the setting-out pen tracing, then, can carry out the operation.
When the utility model is used, the hair is shaved before the operation, the head median line is marked, the adhesive film 100 is adhered to the scalp at the side of the pathological changes according to the size and the approximate position of the pathological changes, a positioning strip 1 which is close to the central line is parallel to the central line, the pathological changes are approximately positioned in a three-dimensional positioning area 4 of the positioning strip, the adhesive film 100 is adhered to the corresponding part of the puncture direction which is roughly estimated, the puncture target point is selected according to a CT image after CT scanning, a puncture point is positioned on the CT image on the principle that the puncture distance is shortest and the functional area is avoided, the intersection point of the connection line of the puncture point and the puncture target point on the scalp at the opposite side is taken as a puncture direction marking point, the distances between the positioned puncture point and the marking point at the opposite side and the positioning points of the strip are measured, the puncture point and the positioning point at the opposite side are marked on the adhesive film 100 according to the positions of a puncture scale 3, the adhesive film is marked with a line drawing pen, the adhesive film 100 is torn off, a surgical incision dotted line is left on the scalp, a more obvious solid line is drawn with a line drawing pen, and then, surgery can be performed.
The above description is directed to the preferred embodiment of the present invention. It is to be understood that the invention is not limited to the particular embodiments described above, and that devices and structures not described in detail are understood to be implemented in a manner common in the art; without departing from the scope of the invention, it is intended that the present invention shall not be limited to the above-described embodiments, but that the present invention shall include all the modifications and variations of the embodiments. Therefore, any simple modification, equivalent change and modification made to the above embodiments by the technical entity of the present invention all still fall within the protection scope of the technical solution of the present invention, where the technical entity does not depart from the content of the technical solution of the present invention.

Claims (9)

1. A structure for three-dimensional positioning of brain lesion surgery comprises a sticking film, wherein a plurality of small holes are formed in the sticking film; the method is characterized in that: the one side of the sticking film, which is in contact fit with the human body, is provided with a viscose glue for sticking, and the other side of the sticking film is provided with a three-dimensional positioning part for three-dimensionally positioning a lesion area.
2. The structure for surgical stereotactic localization of brain lesions according to claim 1, wherein: the three-dimensional positioning part comprises at least 3 positioning bars which are not light-tight when in CT, and the positioning bars form a three-dimensional positioning area through intersecting surrounding cages.
3. The structure for brain lesion surgical stereotactic localization of claim 2, wherein: the positioning strips are adjustable positioning strips movably arranged on the film, so that a three-dimensional positioning area with adjustable size is formed by the positioning strips through intersecting surrounding cages.
4. A structure for brain lesion surgical stereotactic localization of claim 2 or 3, wherein: the positioning strips are 4, and the 4 positioning strips enclose a cage to form a groined three-dimensional positioning area.
5. The structure for brain lesion surgical stereotactic localization of claim 4, wherein: and a plurality of scale lines are arranged on the adhesive film, and the distance between each scale line and the corresponding positioning strip is 0.8-1.2 cm.
6. A structure for brain lesion surgical stereotactic localization of claim 2 or 3, wherein: the width of the positioning strip is 1.8-2.2 mm.
7. A structure for brain lesion surgical stereotactic localization of claim 2 or 3, wherein: the positioning strip is made of calcium-containing materials.
8. A structure for surgical stereotactic localization of brain lesions according to claim 1, 2 or 3, wherein: the small holes are regularly arranged on the adhesive film to form grid-shaped arrangement, wherein the diameter of each small hole is 0.7-0.9 mm, and the center distance between the small holes is 1.8-2.2 mm.
9. A structure for surgical stereotactic localization of brain lesions according to claim 1, 2 or 3, wherein: the pad pasting is made of non-woven fabrics or plastics.
CN201921076092.6U 2019-07-10 2019-07-10 Structure for three-dimensional positioning of brain lesion surgery Active CN210872103U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201921076092.6U CN210872103U (en) 2019-07-10 2019-07-10 Structure for three-dimensional positioning of brain lesion surgery

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Application Number Priority Date Filing Date Title
CN201921076092.6U CN210872103U (en) 2019-07-10 2019-07-10 Structure for three-dimensional positioning of brain lesion surgery

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111991082A (en) * 2020-08-20 2020-11-27 北京华腾创新科技有限公司 Three-dimensional positioning cap for brain surgery positioning and manufacturing method thereof

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111991082A (en) * 2020-08-20 2020-11-27 北京华腾创新科技有限公司 Three-dimensional positioning cap for brain surgery positioning and manufacturing method thereof
CN111991082B (en) * 2020-08-20 2021-07-06 北京华腾创新科技有限公司 Three-dimensional positioning cap for brain surgery positioning and manufacturing method thereof

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Effective date of registration: 20201210

Address after: No.19 Nonglinxia Road, Yuexiu District, Guangzhou City, Guangdong Province 510000

Patentee after: THE FIRST AFFILIATED HOSPITAL OF GUANGDONG PHARMACEUTICAL University

Address before: No.19 Nonglinxia Road, Guangzhou, Guangdong 510000

Patentee before: Xu Weiguang

TR01 Transfer of patent right