201204328 υ^υυηπν 343l5twf.doc/n 六、發明說明： 【發明所屬之技術領域】 本發明係與一種加工方法有關，且特別係與一種手術 導引板的加工方法有關。 【先前技術】 傳統的人工植牙手術在手術過程中，於植牙手術前的 植牙規劃都需要靠斷層掃瞎來建立口腔模型，再由牙醫師 ，據專業的醫學考量來做植牙規劃。但是欲將由牙醫師所 元成的植牙規劃結果，轉移到手術中執行卻是相當困難 的’因為牙醫師在根據斷層料的資料，來完成植牙規劃 、^·'、所產出的資料可能都是虛擬的圖面資料或是數位資 =，牙醫師並沒有辦法依據這些資訊來精準地在病患口腔 行手術。一般的作法是請牙科技師製作手術導引板， 牙科技師也會面臨與牙醫一樣的問題，而益法精準地 =牙手術前所執行的植牙規劃資料，精準地;現= 导引板上。 【發明内容】 本發明提供一 迅捷的定位方式。 種手術導引板的加工方法，其具有較為 本發明的一實施例提出一種手術導引板的加工方 :，以藉由一工具機在一手術導引板上加工出一導引部。 該工具機包括-平台與設置在平台上方的至少一感^裝 34315twf. doc/π 201204328 置。該加工方法包括下列步爾。首 件於手術導引板内，並取得 入至少三個定位 座標資訊。接著，將手術導於定位件的-第一 測裝置來取得定位件相對於平a —平台上，並藉由感 資訊。整合第一座標資訊與第I卽=點的—第二座標 相對於參考點的-加工座標資訊’ ，以定義導引部 工以形成導引部。 x將手術導引板進行加 在本發明之一實施例中，於 的步驟中，包括藉著—座標資訊 掃描，叫得包含患者之彳㈣+彳^ =來進行影像 :並將導引部模擬設置㈣像模型上影像模 資訊。 取％•第一座標 在本發明之一實施例中，上 步驟’包括藉域職置來量測各 訊的 點的垂直高ί 測裝置來量測各定位件相對於參考 ，本發明之—實施例中，上述測 影像擷取裝置。 •衣I巴栝至少一 在本發明之一實施例中，上述咸 指貝取袭置與-測距裝置。 饮職置包括-影像 體。在本發明之一實施例中，上述之定位件實質上為-球 純2基於上述，在本發明的上述實施例中，其係藉由在年 n丨板内置人至少三個定位件，以取得導引部相對於定 201204328 uywunrW 343I5twf.doc/n 位件的第-座標資訊。待手術導引板設置在加 再裝置量測出定位件相對於加工機之參考點的第 一座資訊，進而整合此等第一、第二座 地對手術導引板力參:無= ; = =且準確 體模Ϊ讓省手術導引板的製作工藝與的實 舉實_，並配合所附圖式作詳細說明如下。： 特 【實施方式】 圖二一種手術導引板的示意圖。 的流程圖: = ==種手術導引板的加工方法 =為=時的導引治具，以利醫師藉此對患= 此錢仃祕斜術。惟本發明之手術料板並未偈限於 ^先’於步驟S110中在手術導引板_ 夺之ί::Ι 三個定位件110作為定義出座標 糸之最少必要條件’但其並不侷限於此。 圖3是圖2的手術導引板與 =俯視圖。請同時參考圖1及圖3 :步二= 者係戴著手_引板⑽進行姆細，並同時取得手 34315twf.doc/n 201204328 術導引板100與患者牙齒300的立體影像模型。在此一較 佳實施方式係為讓患者咬合手術導引板1〇〇，並對串者的 口腔部位進行電腦斷層掃描1本發碰未舰於^ 一取 得立體影像模型的方式1醫師取得此立體影像模型之 後’便能接著於步驟S13G中在立體影像模型巾模擬設置 導引部120,並進一步分析出導引部12〇相對於定位件ιι〇 的第-座標資訊。具體而言，即是利㈣職擬出導引部 二t術導引板觸中的位置、深度及角度等資訊，以 作為後續之加工資訊。201204328 υ^υυηπν 343l5twf.doc/n VI. Description of the Invention: [Technical Field] The present invention relates to a processing method, and in particular to a method of processing a surgical guide sheet. [Prior Art] Traditional artificial dental implant surgery During the operation of the implant, the dental implant planning before the dental implant surgery requires a fault broom to establish the oral cavity model, and then the dental surgeon can make dental implant planning according to professional medical considerations. . However, it is quite difficult to transfer the results of implant planning from the dentist to the surgery. 'Because the dentist is working on the implant planning according to the data of the fault material, ^·', the data produced It may be virtual drawing data or digital information=, the dentist has no way to accurately perform the operation in the patient's mouth based on this information. The general practice is to ask the dental technician to make a surgical guide plate. The dental technician will also face the same problems as the dentist, and the method is accurate = the dental implant planning data performed before the dental surgery, precisely; now = guide plate . SUMMARY OF THE INVENTION The present invention provides a quick positioning method. A method for processing a surgical guide plate, which has an embodiment of the present invention, provides a surgical guide plate for processing a guide portion on a surgical guide plate by a machine tool. The machine tool includes a platform and at least one sensor 34315twf. doc/π 201204328 disposed above the platform. The processing method includes the following steps. The first piece is in the surgical guide and gets at least three positioning coordinates. Next, the surgical guide is guided to the first measuring device of the positioning member to obtain the positioning member relative to the flat a platform, and by sensing information. The first coordinate information and the first coordinate = the second coordinate relative to the reference point - machining coordinate information ' are integrated to define the guiding portion to form the guiding portion. x is to add a surgical guide plate to an embodiment of the present invention, in the step of including, by scanning the coordinate information, calling the patient (4) + 彳 ^ = to perform the image: and guiding the portion Simulation settings (4) Image mode information on the model. Taking the %•first coordinate in an embodiment of the present invention, the upper step 'includes a vertical high-measurement device for measuring the point of each signal to measure each positioning member relative to the reference, the present invention- In an embodiment, the image capturing device is described above. • At least one of the present inventions, in one embodiment of the invention, the above-described salty finger attack and distance measuring device. Drinking positions include - image body. In an embodiment of the present invention, the positioning member is substantially - ball pure 2 based on the above, in the above embodiment of the present invention, by using at least three positioning members in the n-plate Obtain the first-coordinate information of the guiding part relative to the 201204328 uywunrW 343I5twf.doc/n bit. The surgical guiding plate is arranged to measure the first piece of information of the positioning component relative to the reference point of the processing machine, and then integrate the first and second seats to the surgical guiding plate force parameter: no=; = = and accurate simplification, let the process of the surgical guide plate and the actual implementation of the _, and with the drawings as detailed below. [Embodiment] FIG. 2 is a schematic view of a surgical guide plate. The flow chart: = == processing method of the surgical guide plate = guide fixture for = when the doctor makes the right to suffer = this money secret surgery. However, the surgical slab of the present invention is not limited to the first step in the step S110. The three locating members 110 are the minimum necessary for defining the coordinates 但 but it is not limited. herein. Figure 3 is a top view of the surgical guide plate of Figure 2; Please refer to FIG. 1 and FIG. 3 at the same time: Step 2 = The person wears the hand _ plate (10) to perform the sizing, and at the same time obtains the hand image 34315 twf.doc/n 201204328 The stereoscopic image model of the guiding plate 100 and the patient's teeth 300. In this preferred embodiment, the patient is occluded to the surgical guide plate 1 and the computerized tomography scan is performed on the oral cavity of the stringer. 1 The method of obtaining a stereoscopic image model is obtained by a physician. After the stereoscopic image model, the guide portion 120 can be simulated in the stereoscopic image model towel in step S13G, and the first coordinate information of the guiding portion 12〇 relative to the positioning member ιι is further analyzed. Specifically, it is the information of the position, depth and angle of the guidance of the guiding part of the guiding unit, which is used as the follow-up processing information.
，4是圖2的手術導引板置i具機的局部示意圖。 在本實施射，工具機朋包括—平台⑽與設置在平台 210上的-感測裝置22()。在此，於步驟⑽中，手術 =1::、被設置在工具機2。。的平台21。 J =點212；Γ-由感測裝置來取得相對於平台 細之機械座標的原點。 考點212為工具機 (例置㈣包括-咖轉置222 移計二一裝置224 (例如是-雷射位 ^ 2H)上^ _影_取裝置222來自動搜尋到平 :由引板削與位於其上的定位件110，接 212的^裝置222來量測出定位件U〇相對於參考點 位伴'距離。最後，再藉由測距裝置224來量測出定 ί件UG相對於參考點212的垂直高度。據此 疋位件110相對於參考點犯的第二座標資訊。犯付 201204328 υ^υυιιΠν 343l5twf.doc/n 惟本實施例並未侷限於以上述 之第二座標資訊。圖5是 件110 定位件之垂直高度的圖實5=:種量測 一影像練裝置222即可完成上述動作 實=僅以 取裝置222在第一位置*点—办放 首先，S影像擷 後，同時並得知定位件110的一第一二=水平=離量測 影像擁取裝置222相對於定位件⑽垂=著，改變 影像操取裝置222至-第-位垂曰直距離，以移動 的-第-尺寸m。= 1 再次量測出粒件110 Μ的差異以及影像榻取裝置222的高 尺寸 之間的關係，便能得知定位件UG的^高度〔、倍率 值得—提的是，在本實施财，各定1 :為-球體，由於球體上任一位置至 二 致^此當影像擷取裝4 222於搜尋定位件 ^疋位件11G的球心作為定位標的’以使影像摘取^ 月b迅速地搜尋到定位件11()的位置。 裝置22 座尸-ί二:SJ60中’將上述第—座標資訊與第二 _導引部m相對於工具_ 之參考點212的-加工座標資訊。最後，在步驟㈣ =具機細係根據加工座標#訊而對手術導引板_ 加工，進而在手術導引板刚上準確地加工 订 據此，當後續醫師為患者進行植牙手㈣，便^ 術導引板100及其上的導引部110準確地在患者^ 進行定位及手術。 n 7 201204328 34315twf.d〇c/n 綜上所述，本發明係藉由在手術導引板 :取St手術導引板並進行電腦斷層掃描= 時取传疋位件與患者口㈣讀f彡像難 乂同 地在此立體影像模型上模擬導引部的位 ’進-步 引部相對於定位件的第一座標資訊。 θ此取得導 再者，將手術導引板裝設於工具機上， ^置便能量測蚊位件相對於工具機之參考點二第二座標 此便能整合第—與第二座標龍，而在手術導引 ，上準確地定位出導引部的位置以利加卫的進行。如此〆 t ’便能在手術導引板上準確且迅速地加工出導引部。此 1有效地節省習知在製作實體齒模所需的加工時間，並提 南在手術導引板上定位出導引部的準確性。 雖然本發明已以實施例揭露如上，然其並非用以限定 本發明，任何所屬技術領域中具有通常知識者，在不脫離 本發明之精神和範圍内，當可作些許之更動與潤飾，故本 發明之保護範圍當視後附之申請專利範圍所界定者為準。 【圖式簡單說明】 圖1是本發明一實施例的手術導引板的示意圖。 圖2是依照本發明一實施例的一種手術導引板的加工 方法的流程圖。 圖3是圖2的手術導引板與患者口腔的立體影像模型 的局部俯視圖。 圖4是圖2的手術導引板置於工具機的示意圖。 201204328 0990011TW 34315twf.doc/n 圖5是本發明另一實施例的一種量測定位件之垂直高 度的示意圖。 【主要元件符號說明】 100 :手術導引板 110 :定位件 120 :導引部 200 :工具機 210 :平台 212 :參考點 220 :感測裝置 222 :影像擷取裝置 224 :測距裝置 D1 :第一尺寸 D2 :第二尺寸 Η :高度差 S110〜S170 :步驟4 is a partial schematic view of the surgical guide plate setting device of FIG. 2. In the present embodiment, the machine tool includes a platform (10) and a sensing device 22() disposed on the platform 210. Here, in the step (10), the surgery = 1:: is set in the machine tool 2. . Platform 21. J = point 212; Γ - the origin of the mechanical coordinate relative to the platform is obtained by the sensing device. The test site 212 is a machine tool (example (4) includes - coffee transpose 222 shift meter two device 224 (for example, - laser position ^ 2H) on the ^ _ shadow_ take device 222 to automatically search for flat: cut by the lead plate The positioning member 110 located thereon is connected to the device 222 of the 212 to measure the distance of the positioning member U 〇 relative to the reference point. Finally, the distance measuring device 224 is used to measure the UG relative to the UG. The vertical height of the reference point 212. According to the second coordinate information of the clamping member 110 relative to the reference point. The payment 201204328 υ^υυιιΠν 343l5twf.doc/n, but the embodiment is not limited to the second coordinate information mentioned above. Fig. 5 is a diagram of the vertical height of the 110 positioning member. 5=: The measurement of the image forming device 222 can complete the above action. Actually, only the device 222 is in the first position * point - first, the S image After that, at the same time, it is known that a first two=level=position measurement image capturing device 222 of the positioning member 110 is tilted relative to the positioning member (10), and the image manipulation device 222 is changed to the first position. , with the moving - the first dimension m. = 1 again measuring the difference of the pellets 110 以及 and the height of the image couch 222 Between the inch, you can know the height of the positioning piece UG [, the rate is worth - mention that in this implementation, each set 1: for - sphere, due to any position on the sphere to the second ^ this image The picking 4 222 is used to search for the position of the positioning member ^clamp 11G as the positioning target 'to make the image picking ^ month b quickly search for the position of the positioning member 11 (). Device 22 seat corpse - ί 2: SJ60 "Processing coordinate information of the above-mentioned first coordinate information and the second_guide portion m with respect to the reference point 212 of the tool_. Finally, in step (4) = machine fine system according to the processing coordinate # The plate _ processing, and thus the surgical guide plate just accurately processed the order, when the follow-up physician performs the implant hand (4) for the patient, the guide plate 100 and the guide 110 thereon are accurately in the patient ^ Positioning and surgery. n 7 201204328 34315twf.d〇c/n In summary, the present invention is based on the surgical guide plate: taking the St surgical guide plate and performing a computed tomography scan = The patient's mouth (four) reads the image of the guide's position on the stereoscopic image model. For the first coordinate information of the positioning member. θThis guide is used to install the surgical guiding plate on the machine tool, and the second measuring object of the energy measuring mosquito position relative to the reference point of the machine tool The first and second coordinate dragons can be integrated, and the position of the guiding portion can be accurately positioned on the surgical guide to facilitate the advancement of the guide. Thus, the 't can be accurately and quickly processed on the surgical guide plate. Guide 1. This effectively saves the processing time required to make a solid tooth mold, and mentions the accuracy of positioning the guide on the surgical guide plate. Although the present invention has been disclosed in the above embodiments, it is not intended to limit the invention, and any one of ordinary skill in the art can make some modifications and refinements without departing from the spirit and scope of the invention. The scope of the invention is defined by the scope of the appended claims. BRIEF DESCRIPTION OF THE DRAWINGS Fig. 1 is a schematic view of a surgical guide plate according to an embodiment of the present invention. 2 is a flow chart of a method of processing a surgical guide plate in accordance with an embodiment of the present invention. 3 is a partial plan view of a three-dimensional image model of the surgical guide plate of FIG. 2 and the patient's mouth. 4 is a schematic view of the surgical guide plate of FIG. 2 placed in a machine tool. 201204328 0990011TW 34315twf.doc/n FIG. 5 is a schematic diagram showing the vertical height of a measuring member according to another embodiment of the present invention. [Main component symbol description] 100: surgical guide plate 110: positioning member 120: guiding portion 200: machine tool 210: platform 212: reference point 220: sensing device 222: image capturing device 224: distance measuring device D1: First size D2: second size Η: height difference S110~S170: steps