CN221578113U - A multi-purpose body surface locator assisted by X-ray CT - Google Patents

A multi-purpose body surface locator assisted by X-ray CT Download PDF

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CN221578113U
CN221578113U CN202323573955.XU CN202323573955U CN221578113U CN 221578113 U CN221578113 U CN 221578113U CN 202323573955 U CN202323573955 U CN 202323573955U CN 221578113 U CN221578113 U CN 221578113U
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body surface
steel wire
ray
metal wire
hook
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宋阳
祝瑞江
朱勇俊
伍宁
姚振威
陈志明
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Huashan Hospital of Fudan University
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Abstract

本实用新型涉及医疗用品技术领域,尤其涉及一种在X线CT辅助下可多用途使用的体表定位器,包括:钢丝,所述钢丝设置有多个,多个所述钢丝两端固定设置有氧化硅胶;PVC边框,其与两侧氧化硅胶连接且设置在钢丝一侧,所述PVC边框上挂有带钩金属丝,带钩金属丝滑动设置在钢丝上,带钩金属丝可沿着PVC边框及钢丝稳定滑动以进行体表定位。本实用新型提供的在X线CT辅助下可多用途使用的体表定位器具有以下效果,第一,精准实现体内病灶的体表定位;第二,体表适形性强,可根据不同身体部位或者患者体型进行调整;第三,精准进针角度,避免多次扫描导致的辐射量增加;第四,定位点和角度精准把控,避免患者遭受反复调整进针路线带来的不必要疼痛。

The utility model relates to the technical field of medical supplies, and in particular to a body surface locator that can be used for multiple purposes with the assistance of X-ray CT, including: a steel wire, a plurality of the steel wires are provided, and both ends of the plurality of the steel wires are fixedly provided with oxidized silica gel; a PVC frame, which is connected to the oxidized silica gel on both sides and is provided on one side of the steel wire, and a metal wire with a hook is hung on the PVC frame, and the metal wire with a hook is slidably provided on the steel wire, and the metal wire with a hook can slide stably along the PVC frame and the steel wire for body surface positioning. The body surface locator that can be used for multiple purposes with the assistance of X-ray CT provided by the utility model has the following effects: first, accurate body surface positioning of lesions in the body; second, strong body surface conformability, which can be adjusted according to different body parts or patient body shapes; third, accurate needle insertion angle to avoid increased radiation caused by multiple scans; fourth, accurate control of the positioning point and angle to avoid unnecessary pain caused by repeated adjustment of the needle insertion route for the patient.

Description

一种在X线CT辅助下可多用途使用的体表定位器A multi-purpose body surface locator assisted by X-ray CT

技术领域Technical Field

本实用新型涉及医疗用品技术领域,尤其涉及一种在X线CT辅助下可多用途使用的体表定位器。The utility model relates to the technical field of medical supplies, in particular to a multi-purpose body surface locator assisted by X-ray CT.

背景技术Background Art

体内病灶诊断确定对临床和影像学一直是个难题。随着医学影像学的发展和对疾病认识的不断提高,体内病灶在影像图中经常可见,在其具体性质判断上,部分情况因影像学特征明显,可以初步臆断其性质。对不典型病例,则难下诊断。体内病灶的鉴别诊断已经成为临床医师日常工作的重要内容之一,CT/X线引导下经皮体内病灶穿刺这一技术正好适应这一要求,为进一步诊断体内病灶性质提供了较好的手段。因为影像学在体内病灶这类疾病的诊断准确性不如病理学可靠,近年来随着CT/X线设备的发展,病理学技术的提高及穿刺针的改进,使CT/X线引导下经皮体内病灶穿刺活检术的病理诊断定性准确率大幅提高,成为介入放射学领域中一项重要的诊断技术,被公认为体内病灶疾病诊断和鉴别诊断的重要方法之一,且已广泛应用于临床。目前,对距离体表近且瘤体积大的肿块,可用B超引导穿刺,而瘤体直径在3cm以下的B超不易定位。由于B超技术的特点及操作方法,使B超引导具有较大局限性,而CT引导的出现,为这一问题的解决提供了可能。它对体内组织损伤小,安全,可靠,定位精确,准确率高,并发症少,CT引导下经皮体内病灶穿刺活检有其独到的价值。The diagnosis of in vivo lesions has always been a difficult problem for clinical and imaging. With the development of medical imaging and the continuous improvement of the understanding of diseases, in vivo lesions are often seen in imaging images. In terms of their specific nature, in some cases, their nature can be preliminarily inferred due to obvious imaging characteristics. For atypical cases, it is difficult to make a diagnosis. The differential diagnosis of in vivo lesions has become one of the important contents of the daily work of clinical physicians. The technology of percutaneous in vivo lesion puncture under CT/X-ray guidance just meets this requirement and provides a better means for further diagnosis of the nature of in vivo lesions. Because the diagnostic accuracy of imaging in diseases such as in vivo lesions is not as reliable as pathology, in recent years, with the development of CT/X-ray equipment, the improvement of pathological technology and the improvement of puncture needles, the qualitative accuracy of pathological diagnosis of percutaneous in vivo lesion puncture biopsy under CT/X-ray guidance has been greatly improved, becoming an important diagnostic technology in the field of interventional radiology. It is recognized as one of the important methods for the diagnosis and differential diagnosis of in vivo lesions and has been widely used in clinical practice. At present, ultrasound can be used to guide puncture for tumors that are close to the body surface and have a large volume, but it is difficult to locate tumors with a diameter of less than 3 cm by ultrasound. Due to the characteristics of ultrasound technology and operation methods, ultrasound guidance has great limitations, and the emergence of CT guidance has made it possible to solve this problem. It has little damage to the body's tissues, is safe, reliable, accurately positioned, has a high accuracy rate, and has few complications. CT-guided percutaneous puncture biopsy of body lesions has its unique value.

然而,目前临床工作中的体表定位器在实际使用过程中存在诸多问题:进行穿刺定位时,无法充分适形体表形态,导致穿刺定位点出现偏差;进针过程中,触碰到骨骼或者需要规避重要血管等情况,导致原来的进针路线无法正常进行,被迫反复调整穿刺路线导致患者承受更多不必要的痛苦;传统的体表定位器无法较为准确解决穿刺针进针角度问题,在很多情况下只能依靠操作者的经验进行判断;调整进针角度可能需要多次CT/X线扫描,也增加了患者接受辐射的风险等。以上诸多不确定因素不仅增加了患者的穿刺风险或者辐射风险,常导致无法顺利配合进行穿刺活检,同时给医护人员带来了诸多不便,影响医护工作质量。However, the surface locators currently used in clinical work have many problems in actual use: when performing puncture positioning, they cannot fully conform to the body surface morphology, resulting in deviations in the puncture positioning point; during the needle insertion process, the original needle insertion route cannot be carried out normally due to touching bones or needing to avoid important blood vessels, and the puncture route is forced to be adjusted repeatedly, causing the patient to suffer more unnecessary pain; traditional surface locators cannot accurately solve the problem of puncture needle insertion angles, and in many cases can only rely on the operator's experience to make judgments; adjusting the needle insertion angle may require multiple CT/X-ray scans, which also increases the risk of radiation exposure for patients, etc. The above uncertain factors not only increase the puncture risk or radiation risk of patients, often leading to the inability to cooperate smoothly in puncture biopsy, but also bring many inconveniences to medical staff and affect the quality of medical care.

实用新型内容Utility Model Content

本实用新型实施例的目的在于提供一种在X线CT辅助下可多用途使用的体表定位器以解决现有的体表定位器在临床工作中遇到的适形性不佳、定位不准确、穿刺时间长、组织创伤大的问题。The purpose of the embodiment of the utility model is to provide a multi-purpose body surface locator assisted by X-ray CT to solve the problems of poor conformality, inaccurate positioning, long puncture time and large tissue trauma encountered by existing body surface locators in clinical work.

本实用新型实施例是这样实现的,一种在X线CT辅助下可多用途使用的体表定位器,包括:钢丝,所述钢丝设置有多个,多个所述钢丝两端固定设置有氧化硅胶,氧化硅胶可对钢丝两端进行连接;PVC边框,其与两侧氧化硅胶连接且设置在钢丝一侧,所述PVC边框上挂有带钩金属丝,带钩金属丝滑动设置在钢丝上,带钩金属丝可沿着PVC边框及钢丝稳定滑动以进行体表定位。The embodiment of the utility model is implemented as follows: a body surface locator that can be used for multiple purposes under the assistance of X-ray CT, comprising: a steel wire, wherein a plurality of the steel wires are provided, and silica gel is fixedly provided at both ends of the plurality of steel wires, and the silica gel can connect the two ends of the steel wire; a PVC frame, which is connected to the silica gel on both sides and is provided on one side of the steel wire, and a metal wire with a hook is hung on the PVC frame, and the metal wire with a hook is slidably provided on the steel wire, and the metal wire with a hook can stably slide along the PVC frame and the steel wire to perform body surface positioning.

优选地,所述钢丝、氧化硅胶、PVC边框所组成定位器整体长度为15厘米,整体宽度为15厘米。Preferably, the overall length of the positioner composed of the steel wire, silica gel and PVC frame is 15 cm, and the overall width is 15 cm.

优选地,所述钢丝和带钩金属丝为柔软合金材料制成,可贴合人体皮肤。Preferably, the steel wire and the hooked metal wire are made of soft alloy material and can fit human skin.

本实用新型提供的在X线CT辅助下可多用途使用的体表定位器具有以下效果,第一,精准实现体内病灶的体表定位;第二,体表适形性强,可根据不同身体部位或者患者体型进行调整;第三,精准进针角度,避免多次扫描导致的辐射量增加;第四,定位点和角度精准把控,避免患者遭受反复调整进针路线带来的不必要疼痛。操作简单,实用性强。The multi-purpose body surface locator provided by the utility model with the assistance of X-ray CT has the following effects: first, accurate body surface positioning of the lesion in the body; second, strong body surface conformability, which can be adjusted according to different body parts or patient body shapes; third, accurate needle insertion angle, avoiding the increase of radiation caused by multiple scans; fourth, accurate control of the positioning point and angle, avoiding unnecessary pain caused by repeated adjustment of the needle insertion route for the patient. It is simple to operate and highly practical.

附图说明BRIEF DESCRIPTION OF THE DRAWINGS

图1为在X线CT辅助下可多用途使用的体表定位器结构示意图。FIG. 1 is a schematic diagram of the structure of a body surface locator that can be used for multiple purposes with the assistance of X-ray CT.

附图中:1-钢丝,2-氧化硅胶,3-PVC边框,4-带钩金属丝。In the attached figure: 1- steel wire, 2- silica gel, 3- PVC frame, 4- metal wire with hook.

具体实施方式DETAILED DESCRIPTION

为了使本实用新型的目的、技术方案及优点更加清楚明白,以下结合附图及实施例,对本实用新型进行进一步详细说明。应当理解,此处所描述的具体实施例仅仅用以解释本实用新型,并不限定本实用新型。In order to make the purpose, technical solution and advantages of the utility model more clear, the utility model is further described in detail below in conjunction with the accompanying drawings and embodiments. It should be understood that the specific embodiments described here are only used to explain the utility model, and do not limit the utility model.

以下结合具体实施例对本实用新型的具体实现进行详细描述。The specific implementation of the present utility model is described in detail below in conjunction with specific embodiments.

请参阅图1,本实用新型实施例提供的一种在X线CT辅助下可多用途使用的体表定位器,所述在X线CT辅助下可多用途使用的体表定位器包括:Please refer to FIG1 , an embodiment of the utility model provides a multi-purpose body surface locator assisted by X-ray CT, and the multi-purpose body surface locator assisted by X-ray CT includes:

钢丝1,所述钢丝1设置有多个,多个所述钢丝1两端固定设置有氧化硅胶2,氧化硅胶2可对钢丝1两端进行连接;PVC边框3,其与两侧氧化硅胶2连接且设置在钢丝1一侧,所述PVC边框3上挂有带钩金属丝4,带钩金属丝4滑动设置在钢丝1上,带钩金属丝4可沿着PVC边框3及钢丝1稳定滑动以进行体表定位。A steel wire 1, wherein a plurality of steel wires 1 are provided, and oxide silicone 2 is fixedly provided at both ends of the plurality of steel wires 1, and the oxide silicone 2 can connect the two ends of the steel wire 1; a PVC frame 3, which is connected to the oxide silicone 2 on both sides and is provided on one side of the steel wire 1, and a hooked metal wire 4 is hung on the PVC frame 3, and the hooked metal wire 4 is slidably provided on the steel wire 1, and the hooked metal wire 4 can stably slide along the PVC frame 3 and the steel wire 1 for body surface positioning.

在使用该体表定位器时,根据患者穿刺前的影像学资料,确定体内病灶大概所在部位;体表放置并用胶带将氧化硅胶2固定在皮肤上,从而实现对体表穿刺定位器的固定;CT扫描一次,并判断穿刺角度;借助CT的定位光标确定体表穿刺点,移动带钩金属丝4,将带钩金属丝4移动到CT光标处,根据光标在钢丝1以及带钩金属丝4的位置,即可确定穿刺的位置;随后将定位针调整为目标进针角度;局麻成功后,根据穿刺点和穿刺角度确定同轴穿刺针进针方向;CT扫描后确定同轴穿刺针在位且角度无误;穿刺活检枪穿刺组织,标本送病理。When using the body surface locator, the approximate location of the lesion in the body is determined based on the patient's imaging data before puncture; the silica gel 2 is placed on the body surface and fixed to the skin with tape, thereby fixing the body surface puncture locator; a CT scan is performed once, and the puncture angle is determined; the body surface puncture point is determined with the help of the CT positioning cursor, and the hooked metal wire 4 is moved to the CT cursor, and the puncture position can be determined based on the position of the cursor on the steel wire 1 and the hooked metal wire 4; the positioning needle is then adjusted to the target insertion angle; after local anesthesia is successful, the insertion direction of the coaxial puncture needle is determined based on the puncture point and the puncture angle; after the CT scan, it is determined that the coaxial puncture needle is in place and the angle is correct; the puncture biopsy gun punctures the tissue, and the specimen is sent to pathology.

如图1所示,作为本实用新型的一种优选实施例,所述钢丝1、氧化硅胶2、PVC边框3所组成定位器整体长度为15厘米,整体宽度为15厘米。As shown in FIG. 1 , as a preferred embodiment of the present utility model, the positioner composed of the steel wire 1 , the silica gel 2 , and the PVC frame 3 has an overall length of 15 cm and an overall width of 15 cm.

长度为15厘米,整体宽度为15厘米可以较大范围的使定位器覆盖在体表,方便进行穿刺定位。The length is 15 cm and the overall width is 15 cm, which allows the locator to cover a larger area of the body surface, making puncture positioning easier.

如图1所示,作为本实用新型的一种优选实施例,所述钢丝1和带钩金属丝4为柔软合金材料制成,可贴合人体皮肤。As shown in FIG. 1 , as a preferred embodiment of the present invention, the steel wire 1 and the hooked metal wire 4 are made of soft alloy material and can fit the human skin.

钢丝1和带钩金属丝4为柔软合金材料,使定位器在固定到体表上后,钢丝1和带钩金属丝4能更好的贴合人体皮肤。The steel wire 1 and the hooked metal wire 4 are made of soft alloy material, so that after the positioner is fixed on the body surface, the steel wire 1 and the hooked metal wire 4 can better fit the human skin.

以上所述仅为本实用新型的较佳实施例而已,并不用以限制本实用新型,凡在本实用新型的精神和原则之内所作的任何修改、等同替换和改进等,均应包含在本实用新型的保护范围之内。The above description is only a preferred embodiment of the present invention and is not intended to limit the present invention. Any modifications, equivalent substitutions and improvements made within the spirit and principles of the present invention should be included in the protection scope of the present invention.

Claims (3)

1.一种在X线CT辅助下可多用途使用的体表定位器,包括钢丝,其特征在于,所述钢丝设置有多个,多个所述钢丝两端固定设置有氧化硅胶,氧化硅胶可对钢丝两端进行连接;1. A multi-purpose body surface locator assisted by X-ray CT, comprising a steel wire, characterized in that the steel wire is provided in plurality, and silica gel is fixedly provided at both ends of the plurality of steel wires, and the silica gel can connect the two ends of the steel wire; PVC边框,其与两侧氧化硅胶连接且设置在钢丝一侧,所述PVC边框上挂有带钩金属丝,带钩金属丝滑动设置在钢丝上,带钩金属丝可沿着PVC边框及钢丝稳定滑动以进行体表定位。A PVC frame is connected to the oxidized silica gel on both sides and is arranged on one side of the steel wire. A metal wire with a hook is hung on the PVC frame. The metal wire with a hook is slidably arranged on the steel wire. The metal wire with a hook can stably slide along the PVC frame and the steel wire to perform surface positioning. 2.根据权利要求1所述的在X线CT辅助下可多用途使用的体表定位器,其特征在于,所述钢丝、氧化硅胶、PVC边框所组成定位器整体长度为15厘米,整体宽度为15厘米。2. The multi-purpose body surface locator assisted by X-ray CT according to claim 1 is characterized in that the overall length of the locator composed of the steel wire, silica gel and PVC frame is 15 cm and the overall width is 15 cm. 3.根据权利要求1所述的在X线CT辅助下可多用途使用的体表定位器,其特征在于,所述钢丝和带钩金属丝为柔软合金材料制成,可贴合人体皮肤。3. The multi-purpose body surface locator assisted by X-ray CT according to claim 1 is characterized in that the steel wire and the hooked metal wire are made of soft alloy material and can fit human skin.
CN202323573955.XU 2023-12-26 2023-12-26 A multi-purpose body surface locator assisted by X-ray CT Active CN221578113U (en)

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