JPS59103653A - Spectroscopic stand attachment apparatus for x-ray photography of abdominal part - Google Patents

Abstract

(57) [Summary] This bulletin contains application data before electronic filing, so abstract data is not recorded.

Description

DETAILED DESCRIPTION OF THE INVENTION The present invention ensures the photographing of double-enhanced X-ray images of the anterior wall of the stomach, that is, the inner wall of the stomach on the abdominal side, particularly the lower part, which has been difficult to photograph clearly in the past. This invention relates to an attached device for a fluoroscopy table for abdominal X-ray photography.

Taking a double-contrast X-ray image of the inner wall of the stomach is generally done by placing a foaming agent and a small amount of water into the stomach, inflating the stomach with the generated gas, and then examining the inside of the swollen stomach. The patient was given an appropriate amount of barium sulfate, and a small amount of barium sulfate was attached to the inner wall of the stomach where the image was to be taken, leaving a small amount of barium sulfate in the crevices of the folds on the inner wall of the stomach where the image was to be taken. In this condition, an X-ray is taken to clearly photograph the folds of the folds, that is, the fine streak-like irregularities.
This refers to X-ray imaging of both parts of the body to facilitate the discovery of diseased areas such as ulcers and malignant tumors.

The present inventor has already made various proposals, such as in Japanese Patent Publication No. 52-42036, which enable the imaging of double contrast images of the anterior wall of the stomach, that is, the abdominal inner wall of the stomach. In most cases, the patient is placed face down on a fluoroscopy table, and the front wall of the stomach is locally pressed with a convex part for compression, thereby deforming the cross section of the front wall of the stomach into an almost W-shape. By dividing the front wall of the helmet into two parts with a V-shaped cross section and tilting the observation table, excess barium sulfate is introduced into one V-shaped part, and a small amount is introduced into the other V-shaped part. The remaining barium sulfate was deposited and an X-ray photograph was taken to obtain an X-ray photograph clearly showing the unevenness of the folds on the inner wall of the other portion.

However, since the position, size, shape, and direction of the stomach vary considerably from patient to patient, it is important to apply the pressing convex to the center of the stomach just right for each patient. Because it is difficult to press the wall properly to separate it into two V-shaped sections, it is effective for all patients and always provides the desired clear X-ray images. Therefore, the present inventor proposed that the upper surface of the fluoroscopy table should avoid strongly compressing the anterior wall of the stomach of a prone patient, which is the same as the previous proposals, but By not pressing the front wall of the stomach into two parts with a protrusion, etc., and by increasing the tilt of the fluoroscopy table, clear double-contrast X-ray images can be easily obtained. I discovered that I can get it.

However, if the slope of the fluoroscope table is made steep, it is easy to photograph the upper part of the anterior wall of the stomach, but when photographing the lower part, the patient's head is tilted downward. If the patient is under a heavy burden of body weight and has to support the patient's weight with their arms, force will be applied to the abdomen, making it difficult to take good photographs, and in some cases there may be a risk that the patient may fall from the fluoroscopy table. It is something.

On the other hand, the present inventor previously proposed
We have devised an abdominal X-ray imaging aid, filed as No. 59, which allows patients to maintain a somewhat comfortable posture even when the fluoroscopy table is tilted steeply.

However, in the assistive device devised, a chest support part and a chest support part that abut against both shoulders of the patient are provided to support both shoulders and the chest of the patient. Just □
The abdomen comes in contact with the top surface of the fluoroscopy table and is easily compressed by the top surface, and the patient naturally puts pressure on the abdomen due to the anxiety of the steep tilt with the head downwards. It was found that it was not always possible to take radiographs of the anterior wall of the patient.

Therefore, the present inventor improved the chest support part and the chest support part of the above-described invention, and also provided a part to support the waist to prevent pressure on the abdomen by the top surface of the fluoroscopy table and to prevent force from entering the abdomen. In this way, the present invention has achieved the ability to easily take an extremely clear and good double-contrast X-ray photograph of the entire anterior wall of the stomach. The structure, function, and effects will be explained in detail.

Reference numeral 1 is an ordinary viewing table whose upper part with a top plate 4 can be rotated clockwise as shown in Fig. 1 until it stands upright, and counterclockwise as shown in Fig. 5.
It can be tilted up to a degree.

2 is an X-ray tube, 5 is a film cassette, 4 is a top plate, and 5 is a step stool.
A groove 11 having an inverted T-shaped cross section is provided for movably attaching a mounting bracket 9 for the grip bar 8 or the like.

Of course, the vertical positional relationship between the X-ray tube and the film cassette may be reversed from that shown in the figure. As shown in FIGS. 4 to 6, the first auxiliary tool main body 13 has a cutout recess 16 that engages with the mounting bracket 9 on the upper side of the grip 9 rods 8 on both sides of the viewing table. It is an elongated rectangular plate located near both ends on one side in the longitudinal direction.
At the center of the upper surface of the main body 13, two shoulder support parts 14 each having a reinforcing support 15 provided across the main body 16 are arranged side by side at a distance that allows the patient's head to fit comfortably therein. . Reference numeral 17 denotes a locking piece provided at the entrance of the notch recess 16 and having one end pivoted to the main body 13. After the notch recess 16 is fitted into the mounting bracket 9, the locking piece 17 is turned to open the opening of the recess 16. The first auxiliary tool 12 is closed and attached so that it does not move unnecessarily with respect to the fluoroscopy table.

Reference numeral 18 denotes a second auxiliary device that is attached to the top plate 4 in line with the first auxiliary device 13 to support the patient's chest, and has a rectangular plate shape as shown in Fig. 7.8. It can be fixed to the top plate 4 by providing a bent portion that engages with the metal portion 10 of the top plate 4 and tightening a mounting screw 19 screwed there.

Furthermore, 20 is a third auxiliary device which is similarly mounted on the top plate and supports the hip bones on both sides of the patient.As shown in Fig. 9.10, the third auxiliary device 20 is shaped like a rectangular plate and supports the patient's abdomen. In order not to press it, one side corresponding to it is notched in a concave shape as shown in the figure. In addition, the first auxiliary tool 12 and the second auxiliary tool 20 are also provided at both ends in the longitudinal direction of the third auxiliary tool 20 in order to be fixed to the top plate 4.
An attachment mechanism such as an auxiliary tool 18 is provided. The attachment mechanism shown in FIG. 9.10 is similar to the attachment mechanism of the first auxiliary tool 12.
It is composed of a cutout recess 21 that engages with the mounting fitting 9 and a locking piece 22 that is pivoted to the opening of the recess 21, and its usage is the same as that described for the first auxiliary tool 12.

Next, the method of use and the effects of the first embodiment shown in FIGS. 1 to 10 will be explained. First, Figure 1 and Figure 2
As shown in the figure, the first auxiliary tool 12 is placed on the upper surface of the top plate 4 on the head side with both ends inserted between the grip 9 bars 8 on both sides of the fluoroscopy table 10 and the top plate 4. , notch recesses 1 on both sides
6 are firmly fixed in the grooves 11 on both sides of the fluoroscopy table 10 and engaged with the mounting fittings 9 of the grip bar 8, and the locking pieces 17 are rotated to attach the first auxiliary tool 12 to the fluoroscopy table 1.

Further, the second auxiliary tool 18 is placed on the fluoroscopy table 1 in contact with the first auxiliary tool as shown in the figure, and fixed to the fluoroscopy table 1 by tightening the mounting screws 19 on both sides.

Furthermore, the third auxiliary tool 20 is placed on the transparent table 1 in the same manner as the first auxiliary tool 12, and both ends are inserted between the hand grip and the top plate 4, and the notch recesses 21 on both sides are attached to the mounting bracket. 9, rotate the locking piece 22, and attach it to the transparent table 1.

Then, patient 6, who has taken barium sulfate, is placed on the fluoroscopy table, placed face down, the part above the neck υ is placed between the shoulder supports 14 on both sides, and the face is slightly placed in the center of the upper surface of the main body 15. The patient is placed at an angle so that both shoulders are in contact with the support surface of the shoulder support part 14, the chest is supported on the upper surface of the second auxiliary device 18, and the lumbar bone portions on both sides are supported on the upper surface of the third auxiliary device 20. let In this way, the patient's abdomen near the stomach rises to an appropriate thickness (approximately 10 leaps) of both the second and third auxiliary tools, leaving a slight gap between them and the top surface of the top plate 4. This eliminates the possibility that the line part will be compressed by the top surface of the top plate, and the patient can maintain his or her posture easily even when the fluoroscopy table is tilted.

Therefore, the left side of the fluoroscopy table 1 in FIG. 1 is lowered, and the fluoroscopy table is tilted so that the patient's head is lowered by approximately 300 degrees from the horizontal as shown in FIG. 3. As a result, excess barium sulfate inside the stomach collects at the upper part of the anterior wall of the stomach located below, and a small amount of barium sulfate remains attached to the stomach wall at the lower part of the anterior wall of the stomach located above. In this condition, an X-ray photograph of the lower anterior wall of the stomach is taken. At this time, the patient grasps the bar 8T with both hands, and most of his weight is on the support surface of the shoulder support part 14 of the first auxiliary tool 12 that is in contact with both shoulders of the patient.
Since the patient is supported by the upper surface of the first auxiliary device main body 13 and the upper surfaces of the second and sixth auxiliary devices 18 and 20 between the two, the patient can stretch his legs naturally and maintain a comfortable posture without putting pressure on his abdomen. can be maintained and good X-ray pictures can be taken.

Next, first, set the viewing table 1 horizontally, and then
After removing all the third auxiliary tools, lower the right side of the viewing platform 1 (as shown in Figure 1) and raise it to an angle of 9,300 degrees from the horizontal.The barium sulfate inside the helmet will collect downwards.
A small amount of barium sulfate remains attached to the upper part of the anterior wall of the stomach, and an X-ray photograph of the upper part of the anterior wall of the stomach is taken in this state.

At this time, the patient stands on the step stool 5 in the conventional manner, with his knees in contact with the top plate, grasping the grip bar 8 with both hands, bending his neck slightly forward, and bending his back in a hunched position. You can take good photos by holding yourself in a good position. Note that when photographing the upper part of the anterior wall of the stomach, do not remove any of the supporting devices, leave them all attached, and keep the patient in most of the original position. There is no problem in taking pictures of the upper part of the wall. When taking pictures, the reason why the lower part of the anterior stomach wall is taken first is that if the upper part is taken first, some of the barium sulfate will be sent to the duodenum, and then the lower part will be taken. This is because when a photograph is taken, the shadows of the lower anterior wall of the stomach and both parts of the duodenum overlap, making it difficult to take a clear photograph.

Next, a second embodiment will be explained with reference to FIGS. 11 and 12. In this embodiment, the first auxiliary tool 12 is composed of a pair of left and right turning layer support pieces 23 and a support fitting 24, and the support fitting 2
4 is fixed to the groove 11 of the metal part 10 by a mounting bracket 25. The rotating layer support piece 23 is pivoted by the support fitting 24, and when in use, is rotated to the top surface of the viewing table.
When not in use, they can be swiveled left and right as shown by the dashed lines in FIG. 12, and suspended from the sides of the viewing table. The second auxiliary tool 18 and the third auxiliary tool 20 are similar to those in the first embodiment, but the viewing table 1 on both the left and right sides
The mounting mechanism may be an appropriate mechanism such as using a mounting bracket 9f or using a mounting screw 19 as shown in FIG. 7.8. Note that between the second auxiliary tool 18 and the fifth auxiliary tool 20, a fourth auxiliary tool 33 for supporting the abdomen similar to the second auxiliary tool 18 is appropriately placed and fixed on the top plate 4, as shown in the figure. If only the fourth auxiliary device 33 is removed only when taking XIIJ photographs of the anterior wall of the stomach,
When photographing a portion other than the anterior wall of the stomach, it can be used in the same way as a normal fluoroscopic table with each of the first to fourth auxiliary tools, including the fourth auxiliary tool 33, attached.

Furthermore, only the fourth auxiliary tool 53, or the second, fifth, and fourth
All of the aids are constructed into a durable bag that does not leak air.
When necessary, air is pumped into the inside to inflate it to form a plate-like body with an appropriate thickness to support the patient's body, and when it is not needed, the air is removed and it is recessed into a thin layer.
It is possible to save the effort of installing and removing the transparent table 1 each time.

Next, the third embodiment will be explained with reference to FIG. 16.14. In this embodiment, the first auxiliary tool 12 is composed of a first auxiliary tool main body 26 that has a plate shape that almost looks like a box f: turned upside down. A screw shaft 30 is horizontally mounted on the screw shaft 60, and a left-hand screw and a right-hand screw are respectively screwed into the screw shaft 60 on the left and right sides of the center part, and a pair of cylindrical waste support parts 2 are provided on the upper surface of the main body 26.
7 is erected, and support shafts with left-handed and right-handed nut members 31 at the lower ends protrude from the bottom surface of the waste support portion 27, respectively, and the support shafts are connected to a pair of elongated holes opened in the top surface of the main body 26. The guide #I29 extends downward, and both the left-handed and right-handed nut members 31 are screwed into the left-handed and right-handed threaded portions of the screw shaft 60, respectively. Therefore, by adjusting the handle 52f:jJ4, the distance between both shoulder support parts 270 can be adjusted according to the patient's physique, etc., and the abutment and support for the patient's shoulders can be improved.

In addition, in the first auxiliary tool 12 of the third embodiment, by rotating and tightening the mounting brackets 28 that are provided through the four corners of the first auxiliary tool 12 and loosely fit the enlarged portion of the lower end into the groove 11 of the viewing table 1, The first auxiliary tool 12t'' can be fixed on the top plate 4 of the viewing table 1, and if the first auxiliary tool 12t is not required,
The first auxiliary tool can be kept out of the way when each mounting bracket 28 is used for general use of the stand 1.

The method of use and the effects of the second and third embodiments are almost the same as those of the first embodiment described above.

In the case of the first aid, these aids may be made of any suitable materials such as wood, synthetic resin, metal, etc., but the second, third, and fourth aids may be made of any suitable materials. It should be made of materials that transmit X-rays, such as wood, synthetic resin, and textile products.

As described above, by using the auxiliary device of the present invention, a conventional tiltable viewing table can be used as is, and the first, second, fifth, etc. auxiliary tools can be simply placed on the top plate. Just by setting it up, you can easily and reliably take double-contrast X-ray pictures of the anterior wall of the stomach, especially its lower part, and you can also attach, remove, or move each of these auxiliary devices. It is extremely simple and can make an exceptional contribution to this type of medical field.

[Brief explanation of the drawing]

FIG. 1 is an explanatory side view of the first embodiment, FIG. 2 is a top view of the same, FIG. 3 is a side view of the same, and FIG. 4 is a top view of the first auxiliary tool of the first embodiment. Fig. 5 is a side view of the same, Fig. 6 is a rear view of the same, Fig. 7 is a top view of the second auxiliary tool, Fig. 8 is a front view of the same, Fig. 9 is a top view of the fifth auxiliary tool, and Fig. 10 is a top view of the same. The figure is the same front view,
Fig. 11 is an explanatory top view of the second embodiment, Fig. 12 is an explanatory front sectional view of the first auxiliary tool portion of the same embodiment, and Fig. 15 is a top view of the first auxiliary tool of the third embodiment. , FIG. 14 is a front view of the same. 1... Transparent table, 4... Top plate, 7... Stomach, 12...
- First auxiliary tool, 14... waste support section, 18... second auxiliary tool, 20... third auxiliary tool, 53... fourth auxiliary tool. Patent Applicant Ono Shinkosan Co., Ltd. Figure 1 - Figure 3 Figure 4 - Figure 6 Figure 7 Figure 74

Claims (5)

[Claims] (1) A device installed on the top plate of a fluoroscopy table to take a double-contrast X-ray image of the anterior wall of the stomach, with a pair of shoulders that abut against both shoulders of the patient. A device for abdominal X-ray imaging consisting of a first aid having a support part, a second plate-shaped aid that supports the patient's chest, and a third plate-shaped aid that supports the hip bones on both sides of the patient. A device attached to the fluoroscopy table. (2) A device installed on the top plate of a fluoroscopy table for photographing a double contrast X-ray image of the anterior wall of the stomach, with a pair of shoulders that abut against both shoulders of the patient. A first auxiliary device having a support part, a second plate-shaped auxiliary device that supports the patient's chest, a third plate-shaped auxiliary device that supports the hip bones on both sides of the patient, a second auxiliary device and a second auxiliary device. A fourth auxiliary device in the form of a plate that is installed between the three auxiliary devices and supports the patient's abdomen. (3) From the first auxiliary device main body, which is an elongated rectangular plate with attachment devices to the viewing table at both ends in the longitudinal direction and a pair of shoulder supports arranged side by side in the center of the upper surface. A fluoroscopy table accessory device for abdominal X-ray photography according to claim (1) or (2). (4) A rotating layer support piece pivotally connected to the support fittings so that the first auxiliary tool can pivot between the pair of right and left support fittings for fixing to the viewing table, and the top and side surfaces of the viewing table. A fluoroscopy table accessory device for abdominal X-ray photography according to claim (1) or (2), comprising: (5) Claims (1) and (2) in which the pair of shoulder support portions of the first auxiliary device are configured such that the distance between them can be adjusted.
Or the fluoroscopy table attachment device for abdominal X-ray photography according to (3).