WO2007056912A1 - Ultrasonic treatment head and ultrasonic treatment system including the same - Google Patents

Ultrasonic treatment head and ultrasonic treatment system including the same Download PDF

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Publication number
WO2007056912A1
WO2007056912A1 PCT/CN2006/001720 CN2006001720W WO2007056912A1 WO 2007056912 A1 WO2007056912 A1 WO 2007056912A1 CN 2006001720 W CN2006001720 W CN 2006001720W WO 2007056912 A1 WO2007056912 A1 WO 2007056912A1
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Prior art keywords
ultrasonic treatment
treatment head
human body
ultrasonic
contact
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PCT/CN2006/001720
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French (fr)
Chinese (zh)
Inventor
Long Wang
Yue Gu
Siyuan Yan
Mu Mu
Hai Wang
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Chongqing Ronghai Medical Ultrasound Industry Ltd.
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Publication of WO2007056912A1 publication Critical patent/WO2007056912A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00Ultrasound therapy
    • A61N7/02Localised ultrasound hyperthermia
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/225Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for for extracorporeal shock wave lithotripsy [ESWL], e.g. by using ultrasonic waves
    • A61B17/2251Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for for extracorporeal shock wave lithotripsy [ESWL], e.g. by using ultrasonic waves characterised by coupling elements between the apparatus, e.g. shock wave apparatus or locating means, and the patient, e.g. details of bags, pressure control of bag on patient

Definitions

  • the invention belongs to the technical field of ultrasonic therapy, and particularly relates to an ultrasonic treatment head and an ultrasonic treatment system including the same. Background technique
  • Focused ultrasound therapy is a non-invasive, non-invasive treatment, especially suitable for the treatment of cancer patients, less damage to patients than traditional surgery or chemotherapy, so its application is very rapid development, indications include liver cancer, osteosarcoma, breast Cancer, pancreatic cancer, kidney cancer, soft tissue tumors, etc.
  • FIG. 1 is a schematic view showing the structure of an ultrasonic treatment system in the prior art. In Fig.
  • the ultrasonic treatment head 1 is a spherical concave surface, and the concave surface corresponds to an incident angle ⁇ of about 65 °, and an outer diameter of generally 100-150 mm.
  • the ultrasonic energy emitted by the treatment head can theoretically satisfy The need for treatment.
  • the anti-scattering of the bone by the bone reduces the therapeutic energy reaching the target area.
  • the attenuation of the ultrasound by other tissues on the ultrasonic sound channel also leads to the treatment required to reach the target area. The reduction in energy affects the therapeutic effect.
  • the technical problem to be solved by the present invention is to provide a kind of defect that the ultrasonic treatment device is easy to cause harm to the patient in the prior art, and provide an ultrasonic energy that can satisfy the target region at the time of treatment without giving other tissue bands on the acoustic channel.
  • the surface area of the ultrasonic treatment head in contact with the human body ranges from 30,000 to 35,000 square millimeters.
  • the surface area of the ultrasonic treatment head is 1.5 to 2.5 times of the surface area of the existing ultrasonic treatment head, and the surface area of the ultrasonic treatment head in contact with the human body is increased, which is advantageous in the case where the total energy of the ultrasonic wave used is constant. Reducing the ultrasonic energy per unit area, that is, the sound intensity, will not cause damage to other tissues on the sound channel under the premise of ensuring the therapeutic effect.
  • the shape of the ultrasonic treatment head in contact with the human body coincides with the shape of the body surface corresponding to the human body.
  • the ultrasonic treatment head that conforms to the shape of the body surface at the contact with the human body, the incident angle of the ultrasonic wave is along the normal direction of the body surface, thereby reducing the loss of ultrasonic energy on the ultrasonic channel.
  • the ultrasonic treatment head conforms to the geometry of the human body surface and refers to a macroscopic anastomosis, rather than being consistent with the shape of the human body surface at each location.
  • the ultrasound treatment head can be matched with the shape of the human body surface to provide a series of ultrasonic treatment heads with different spherical curvatures to ensure the treatment of patients.
  • Patients with different body shapes use ultrasonic treatment heads with different spherical curvatures to match the shape of the ultrasonic surface to the surface of the human body to achieve the best therapeutic effect.
  • the ultrasonic treatment head is in contact with the human body as a spherical surface. Due to the increase of the surface area of the spherical surface, in order to conform to the shape of the body surface of the human body, the incident angle of the spherical surface in the two directions of the X-axis and the Y-axis of the horizontal plane ⁇ Different from the size of ⁇ , the angle of incidence can be in the range of 90 ° - 110 ° (in the direction of the X axis), and the angle of incidence ⁇ can be in the range of 50 ° A 65 ° (along the Y-axis).
  • the magnitude of the incident angle determines the sound intensity of other tissue units on the acoustic channel under the premise of ensuring the ultrasonic energy required for treatment. the size of. The larger the angle of incidence, the smaller the sound intensity per unit area and the less likely it is to cause harm to the patient.
  • the size of the outer diameter of the ultrasonic treatment head and the surface area of the treatment head in contact with the skin of the patient's body surface it is possible to achieve the total energy required for the treatment while reducing the other tissue unit area on the ultrasonic sound channel. Sound intensity requirements.
  • the incident angle of the ultrasonic treatment head of the present invention is much larger than the incident angle of the ultrasonic treatment head in the prior art, the surface area of the ultrasonic treatment head in contact with the human body is correspondingly increased, and the sound intensity per unit area is small, basically not Injure the patient.
  • Another technical solution to solve the technical problem of the present invention is that the shape of the ultrasonic treatment head in contact with the human body coincides with the shape of the body surface corresponding to the human body.
  • the surface area of the ultrasonic treatment head provided by the present invention is greater than the surface area of the existing ultrasonic treatment head when the shape of the ultrasonic treatment head is in contact with the surface of the patient's body surface. Double, thus increasing the surface area of the skin penetrated by the ultrasound surface of the patient, and under the premise of ensuring the ultrasonic energy required for treatment, the sound intensity of other tissues on the acoustic channel per unit area is also reduced, and other tissues on the acoustic channel are damaged. The possibility is reduced.
  • the surface area of the ultrasonic treatment head in contact with the human body ranges from 30,000 to 35,000 square millimeters.
  • the ultrasonic treatment head is in contact with the human body as a spherical surface, and an incident angle may be in the range of 90 ° - 110 °, and another incident angle ⁇ may range from 50 ° to 65 °.
  • An ultrasonic treatment system comprising the above ultrasonic treatment head.
  • the center of the ultrasonic treatment head has a monitoring device, and the monitoring device uses a ⁇ super probe.
  • the ultrasonic treatment heads having different curvatures can be selected for different patients. Therefore, the appropriate ultrasonic incident angle is selected, which effectively reduces the sound intensity per unit area within the acoustic channel and reduces the possibility of damage to other organs in the human body.
  • the ultrasonic treatment head of the present invention presupposes the ultrasonic energy required for treatment
  • the sound intensity of other tissues on the acoustic channel per unit area is also reduced, and the possibility of damage to other tissues on the acoustic channel is reduced.
  • the ultrasonic treatment system provided by the invention has the shape of the ultrasonic treatment head in contact with the patient's body surface and the shape of the patient's corresponding body surface, so that the patient can better locate and detect the liver tumor treatment. , monitoring treatment.
  • Figure 1 is a schematic view showing the structure of an ultrasonic treatment system in the prior art.
  • Figure 2 is a top view of Figure 1.
  • FIG. 3 is a schematic structural view of an ultrasonic treatment system when the ultrasonic treatment head is spherical in the embodiment 1 of the present invention
  • Figure 4 is a top view of Figure 3.
  • FIG. 5 is a schematic view showing an incident angle of an ultrasonic treatment head when it is incident according to Embodiment 1 of the present invention.
  • FIG. 6 is a schematic view showing the structure of an ultrasonic treatment system when the ultrasonic treatment head is a spherical surface according to Embodiment 2 of the present invention.
  • Figure 7 is a top view of Figure 6.
  • the ultrasonic treatment system of the present invention comprises an ultrasonic treatment head 1, a monitoring device 2, and a motion positioning mechanism 7 for moving the ultrasonic treatment head 1, a motion positioning mechanism 7 and an ultrasonic treatment head. 1 is connected together by a connecting member 6.
  • the monitoring device can be a helium super probe.
  • the ultrasonic treatment head 1 is in contact with the skin 3 of the patient's body surface through the transmission medium 5.
  • the shape of the ultrasonic treatment head 1 in contact with the human body coincides with the shape of the body surface corresponding to the human body. It should be noted that the shape of the surface of the ultrasonic treatment head mentioned in the present invention is in agreement with the shape of the body surface at the contact point of the human body. When used, the ultrasonic treatment head does not need to be completely consistent with the shape of the human body surface, as long as it is basically suitable.
  • the surface area of the ultrasonic treatment head 1 in contact with the human body ranges from 30,000 to 35,000 square millimeters.
  • the ultrasonic treatment head when it is spherical with the human body, it is adapted to the body surface of the human body, and the spherical angle of the incident angle ⁇ and ⁇ in the X-axis and the Y-axis are not Similarly, an angle of incidence ⁇ can range from 90 ° to 110 °, and another angle of incidence ⁇ can range from 50 ° to 65 °.
  • the ultrasonic treatment system of the present embodiment includes an ultrasonic treatment head 1, a monitoring device 2, and a motion positioning mechanism 7 for moving the ultrasonic treatment head 1, and the motion positioning mechanism 7 is connected to the ultrasonic treatment head 1.
  • the parts 6 are connected together.
  • the monitoring device 2 uses a helium super probe, and the ultrasonic treatment head 1 is in contact with the skin 3 of the patient's body through the transmission medium 5.
  • the transmission medium 5 is deaerated water.
  • the shape of the contact portion of the ultrasonic treatment head 1 with the human body coincides with the shape of the body surface corresponding to the human body (ie, the skin surface 3 of the patient's body surface), and since the lesion 4 is the rib region of the patient, in this embodiment, the ultrasonic treatment
  • the shape of the head 1 in contact with the human body is a spherical surface, the incident angle ⁇ of the spherical surface is 105 °, the other incident angle ct is 60 °, and the surface area of the spherical surface is about 34,000 square millimeters.
  • the patient's body position is first fixed, and under the guidance of the monitoring device 2, the motion positioning mechanism 7 is adjusted, and the ultrasonic treatment head 1 is adjusted to be in the optimal position for firing to the lesion 4, and the ultrasonic treatment is performed.
  • the first 1 emits ultrasonic waves to the lesion 4, so that the direction of the ultrasonic wave is along the normal direction of the skin of the patient's body surface as much as possible, avoiding other tissues that may be injured, and the ultrasonic wave passes through the transmission medium 5 to reach the lesion 4 to treat the patient, so that not only is the guarantee
  • the total ultrasonic energy required for treatment is also minimized by the average sound intensity of other tissues on the acoustic channel.
  • the outer diameter of the ultrasonic treatment head is generally 100-150 mm, and in the present embodiment, the outer diameter of the ultrasonic treatment head is 220 mm.
  • the area of the acoustic channel is increased, and the total output sound power can be reduced under the same conditions. The sound intensity per unit area is improved and the safety of treatment is improved.
  • the position of the lesion 4 of the other patient is different from that of the first embodiment, and the ultrasonic treatment head 1 still adopts a spherical surface that matches the shape of the body surface at the contact with the human body, and the spherical surface
  • One incident angle ⁇ is 110 °
  • the other incident angle ⁇ is 65°
  • the surface area is about 35000 mm 2 .
  • the shape of the ultrasonic treatment head 1 in contact with the skin surface of the patient's body surface is consistent with the shape of the skin 3 of the patient's body surface. .

Abstract

An ultrasonic treatment head and an ultrasonic treatment system including the same. The surface area where the body be contacted by the ultrasonic treatment head is 30000 to 35000 square millimeters. The shape of the ultrasonic treatment head can anastomose with that of the body surface where it is operating. The ultrasonic treatment system is provided with said ultrasonic treatment head above. The present invention can provide enough energy for the target area without hurting other tissues on the sound channel.

Description

一种超声波治疗头及含有该超声波治疗头的超声波治疗系统 技术领域  Ultrasonic treatment head and ultrasonic treatment system containing the same
本发明属于超声波治疗技术领域, 具体涉及一种超声波治疗头及 含有该超声波治疗头的超声波治疗系统。 背景技术  The invention belongs to the technical field of ultrasonic therapy, and particularly relates to an ultrasonic treatment head and an ultrasonic treatment system including the same. Background technique
聚焦超声治疗是一种非介入式无创伤治疗方法, 尤其适合对肿瘤 患者进行治疗, 比传统外科手术或化疗对患者的损伤小, 因而其应用 发展非常迅速, 适应症包括肝癌、 骨肉瘤、 乳腺癌、 胰腺癌、 肾癌、 软组织肿瘤等。  Focused ultrasound therapy is a non-invasive, non-invasive treatment, especially suitable for the treatment of cancer patients, less damage to patients than traditional surgery or chemotherapy, so its application is very rapid development, indications include liver cancer, osteosarcoma, breast Cancer, pancreatic cancer, kidney cancer, soft tissue tumors, etc.
现有技术的聚焦超声治疗多是在 B超设备的定位和监控下, 利用 固定的超声波治疗头对不同群体或个体进行治疗。 由于这种固定式治 疗头的入射角 Θ是固定不变的, 因此不能根据不同患者来调整超声入 射角度,也不能降低声通道范围内单位面积上的声强(即超声波能量), 当单位面积上的声强过大时, 容易对人体的其他部位造成损伤。 图 1 为现有技术中超声波治疗系统的结构示意图。 图 1中, 超声波治疗头 1 为球形凹面, 该凹面所对应的入射角 Θ为 65 ° 左右, 其外径一般为 100-150毫米, 这种治疗头所能发射的超声波能量在理论上能够满足治 疗的需要。 但是在实际的临床应用中, 骨头对超声波的反 /散射降低了 到达目标区域的治疗能量; 另外, 治疗深部肿瘤时, 超声波声通道上 其它组织对超声波的衰减也导致了到达目标区域治疗所需能量的降 低, 影响治疗效果。  Prior art focused ultrasound therapy mostly uses different ultrasound treatment heads to treat different groups or individuals under the positioning and monitoring of B-ultrasound devices. Since the incident angle Θ of the fixed treatment head is fixed, the ultrasonic incident angle cannot be adjusted according to different patients, and the sound intensity per unit area (ie, ultrasonic energy) in the range of the acoustic channel cannot be reduced, when the unit area is When the sound intensity is too large, it is easy to cause damage to other parts of the human body. Figure 1 is a schematic view showing the structure of an ultrasonic treatment system in the prior art. In Fig. 1, the ultrasonic treatment head 1 is a spherical concave surface, and the concave surface corresponds to an incident angle Θ of about 65 °, and an outer diameter of generally 100-150 mm. The ultrasonic energy emitted by the treatment head can theoretically satisfy The need for treatment. However, in practical clinical applications, the anti-scattering of the bone by the bone reduces the therapeutic energy reaching the target area. In addition, when treating deep tumors, the attenuation of the ultrasound by other tissues on the ultrasonic sound channel also leads to the treatment required to reach the target area. The reduction in energy affects the therapeutic effect.
使用超声波治疗系统进行治疗时既要保证到达目标区域所需要的 总能量, 同时还要保证人体内其它组织不受到损害, 这是进行超声波 治疗的基本条件。 确定治疗所需的超声总能量时, 必须考虑目标区域 到超声发射源之间的组织对超声的作用 (如反射、 吸收、 散射等) , 还必须考虑被治疗肿瘤的大小、 空间位置, 确定其凝固性坏死所需能 量范围, 同时, 超声波声通道上其它组织的声特性、 可能承受的单位 面积最大声强也需纳入治疗规划中。 基于以上因素, 要满足治疗能量 要求, 目前一般采用两种做法: 1、 增加超声波的发射能量; 2、 切除 骨头以降低能量的衰减, 比如治疗肝肿瘤时切除肋骨。 但增加超声波 能量, 会使患者的骨头、 皮肤及声通道组织损伤的可能性加大; 而切 除骨头以降低能量衰减的做法会造成患者终生残疾。 发明内容 When using the ultrasound treatment system for treatment, it is necessary to ensure the total energy required to reach the target area, while ensuring that other tissues in the human body are not damaged, which is the basic condition for ultrasonic treatment. To determine the total ultrasound energy required for treatment, the effects of tissue between the target area and the ultrasound source on ultrasound (eg, reflection, absorption, scattering, etc.) must be considered. The size and spatial location of the treated tumor must also be considered. The range of energy required for coagulative necrosis, and the acoustic properties of other tissues on the ultrasonic acoustic channel, the units that may be tolerated The maximum sound intensity of the area also needs to be included in the treatment plan. Based on the above factors, to meet the treatment energy requirements, two methods are generally used: 1. Increase the emission energy of the ultrasound; 2. Remove the bone to reduce the attenuation of energy, such as removing the ribs when treating liver tumors. However, increased ultrasound energy increases the likelihood of bone, skin, and acoustic channel tissue damage; and the removal of bone to reduce energy attenuation can cause a patient's lifetime disability. Summary of the invention
• 本发明所要解决的技术问题是针对现有技术中超声治疗设备易 对患者造成伤害的缺陷, 提供一种既能满足治疗时目标区域所需的超 声波能量又不至于给声通道上其它组织带来严重伤害的超声波治疗头 及含有该超声波治疗头的超声波治疗系统。  The technical problem to be solved by the present invention is to provide a kind of defect that the ultrasonic treatment device is easy to cause harm to the patient in the prior art, and provide an ultrasonic energy that can satisfy the target region at the time of treatment without giving other tissue bands on the acoustic channel. An ultrasonic treatment head for serious injury and an ultrasonic treatment system containing the ultrasonic treatment head.
解决本发明技术问题所采用的一种技术方案是该所述超声波治 疗头与人体接触处的表面积范围为 30000— 35000平方毫米。 该超声 波治疗头的表面积是现有超声波治疗头表面积的 1. 5- 2. 5倍, 增大 超声波治疗头与人体接触处的表面积,有利于在所使用的超声波总能 量不变的情况下, 降低单位面积上的超声波能量即声强, 在保证治疗 效果的前提下, 不会给声通道上其它组织带来伤害。  One technical solution adopted to solve the technical problem of the present invention is that the surface area of the ultrasonic treatment head in contact with the human body ranges from 30,000 to 35,000 square millimeters. The surface area of the ultrasonic treatment head is 1.5 to 2.5 times of the surface area of the existing ultrasonic treatment head, and the surface area of the ultrasonic treatment head in contact with the human body is increased, which is advantageous in the case where the total energy of the ultrasonic wave used is constant. Reducing the ultrasonic energy per unit area, that is, the sound intensity, will not cause damage to other tissues on the sound channel under the premise of ensuring the therapeutic effect.
优选的是, 所述超声波治疗头与人体接触处的形状与人体对应 的体表形状相吻合。与人体接触处的体表形状相吻合的超声波治疗头, 超声波的入射角度沿体表法线方向,因而减少了超声波能量在超声通 道上的损失。所述超声波治疗头与人体体表的几何形状相吻合, 是指 宏观的吻合, 而不是每一处均与人体表面形状相吻合。 由于各个人体 体表形状不尽相同,因此, 要使超声波治疗头与人体表面形状相吻合 就可提供一系列球面曲率不相同的超声波治疗头,以保证对病人治疗 的需要。不同体形的病人采用不同球面曲率的超声波治疗头, 以使超 声波治疗头与人体表面形状相吻合, 达到最佳的治疗效果。  Preferably, the shape of the ultrasonic treatment head in contact with the human body coincides with the shape of the body surface corresponding to the human body. The ultrasonic treatment head that conforms to the shape of the body surface at the contact with the human body, the incident angle of the ultrasonic wave is along the normal direction of the body surface, thereby reducing the loss of ultrasonic energy on the ultrasonic channel. The ultrasonic treatment head conforms to the geometry of the human body surface and refers to a macroscopic anastomosis, rather than being consistent with the shape of the human body surface at each location. Because the shape of each human body is not the same, the ultrasound treatment head can be matched with the shape of the human body surface to provide a series of ultrasonic treatment heads with different spherical curvatures to ensure the treatment of patients. Patients with different body shapes use ultrasonic treatment heads with different spherical curvatures to match the shape of the ultrasonic surface to the surface of the human body to achieve the best therapeutic effect.
所述超声波治疗头与人体接触处为球面, 由于将该球面的表面 积增大, 为了与人体的体表形状相适应, 该球面在水平面的 X轴与 Y 轴两个方向上对应的入射角 Θ与 α的大小不相同,入射角 Θ取值范围 可为 90 ° — 110 ° (沿 X轴方向) ,另一入射角 α取值范围可为 50 ° 一 65 ° (沿 Y轴方向) 。 由于超声波入射角大小受患者病灶与治疗头 相对位置以及治疗头外径大小的影响,在保证治疗所需超声波能量的 前提下,入射角的大小就决定了声通道上其它组织单位面积上声强的 大小。 入射角越大, 单位面积上声强越小, 对患者造成伤害的可能性 就越小。通过权衡超声波治疗头外径的大小和该治疗头与患者体表皮 肤相接触处的表面积的大小, 就可以达到既能满足治疗所需总能量, 同时又能降低超声波声通道上其它组织单位面积声强的要求。由于本 发明超声波治疗头中一个入射角远比现有技术中超声波治疗头的入 射角大, 因此超声波治疗头与人体接触处的表面积也相应增大, 单位 面积上的声强小, 基本不会对患者造成伤害。 The ultrasonic treatment head is in contact with the human body as a spherical surface. Due to the increase of the surface area of the spherical surface, in order to conform to the shape of the body surface of the human body, the incident angle of the spherical surface in the two directions of the X-axis and the Y-axis of the horizontal plane Θ Different from the size of α, the angle of incidence can be in the range of 90 ° - 110 ° (in the direction of the X axis), and the angle of incidence α can be in the range of 50 ° A 65 ° (along the Y-axis). Because the angle of incidence of the ultrasonic wave is affected by the relative position of the patient's lesion and the treatment head and the size of the outer diameter of the treatment head, the magnitude of the incident angle determines the sound intensity of other tissue units on the acoustic channel under the premise of ensuring the ultrasonic energy required for treatment. the size of. The larger the angle of incidence, the smaller the sound intensity per unit area and the less likely it is to cause harm to the patient. By weighing the size of the outer diameter of the ultrasonic treatment head and the surface area of the treatment head in contact with the skin of the patient's body surface, it is possible to achieve the total energy required for the treatment while reducing the other tissue unit area on the ultrasonic sound channel. Sound intensity requirements. Since the incident angle of the ultrasonic treatment head of the present invention is much larger than the incident angle of the ultrasonic treatment head in the prior art, the surface area of the ultrasonic treatment head in contact with the human body is correspondingly increased, and the sound intensity per unit area is small, basically not Injure the patient.
解决本发明技术问题所釆用的另一种技术方案是该所述超声波 治疗头与人体接触处的形状与人体对应的体表形状相吻合。  Another technical solution to solve the technical problem of the present invention is that the shape of the ultrasonic treatment head in contact with the human body coincides with the shape of the body surface corresponding to the human body.
当超声波治疗头与患者体表相接触处的形状和患者体表的几何 形状相吻合时,本发明所提供的超声波治疗头的表面积比现有的超声 波治疗头表面积大 1. 5- 2. 5倍, 因此增大了超声波穿透患者体表皮 肤的表面积, 在保证治疗所需超声波能量的前提下, 也降低了单位面 积声通道上其它组织承受的声强,使得声通道上其它组织受损可能性 降低。  The surface area of the ultrasonic treatment head provided by the present invention is greater than the surface area of the existing ultrasonic treatment head when the shape of the ultrasonic treatment head is in contact with the surface of the patient's body surface. Double, thus increasing the surface area of the skin penetrated by the ultrasound surface of the patient, and under the premise of ensuring the ultrasonic energy required for treatment, the sound intensity of other tissues on the acoustic channel per unit area is also reduced, and other tissues on the acoustic channel are damaged. The possibility is reduced.
优选的是, 超声波治疗头与人体接触处的表面积范围为 30000- 35000平方毫米。  Preferably, the surface area of the ultrasonic treatment head in contact with the human body ranges from 30,000 to 35,000 square millimeters.
所述超声波治疗头与人体接触处为球面, 其一入射角 Θ取值范 围可为 90 ° — 110 ° ,另一入射角 α取值范围可为 50 ° — 65 ° 。  The ultrasonic treatment head is in contact with the human body as a spherical surface, and an incident angle may be in the range of 90 ° - 110 °, and another incident angle α may range from 50 ° to 65 °.
一种含有上述超声波治疗头的超声波治疗系统。  An ultrasonic treatment system comprising the above ultrasonic treatment head.
优选的是, 超声波治疗头的中心有监控装置, 监视装置采用 Β 超探头。  Preferably, the center of the ultrasonic treatment head has a monitoring device, and the monitoring device uses a Β super probe.
由于病灶通常位于患者肋骨附近区域, 而不同患者在该处的体表 皮肤形状不一, 因此对不同患者可选择具有不同曲率的超声波治疗 头。 从而选择合适的超声波入射角, 有效降低声通道范围内单位面积 上的声强, 减小了人体内其他器官受损的可能性。  Since the lesion is usually located in the vicinity of the patient's ribs, and the surface of the skin of the different patients is different, the ultrasonic treatment heads having different curvatures can be selected for different patients. Therefore, the appropriate ultrasonic incident angle is selected, which effectively reduces the sound intensity per unit area within the acoustic channel and reduces the possibility of damage to other organs in the human body.
因此, 本发明超声波治疗头在保证治疗所需超声波能量的前提 下, 也降低了单位面积声通道上其它组织承受的声强, 使得声通道上 其它组织受损可能性降低。 Therefore, the ultrasonic treatment head of the present invention presupposes the ultrasonic energy required for treatment The sound intensity of other tissues on the acoustic channel per unit area is also reduced, and the possibility of damage to other tissues on the acoustic channel is reduced.
本发明所提供的超声波治疗系统, 其所采用的超声波治疗头与患 者体表相接触处的形状和患者对应体表的形状相吻合, 因此可对患者 更好的进行肝肿瘤治疗的定位、 检测、 监控治疗。 附图说明  The ultrasonic treatment system provided by the invention has the shape of the ultrasonic treatment head in contact with the patient's body surface and the shape of the patient's corresponding body surface, so that the patient can better locate and detect the liver tumor treatment. , monitoring treatment. DRAWINGS
图 1 为现有技术中超声波治疗系统的结构示意图  Figure 1 is a schematic view showing the structure of an ultrasonic treatment system in the prior art.
图 2 为图 1的俯视图  Figure 2 is a top view of Figure 1.
图 3 为本发明实施例 1 中超声波治疗头为球面时超声波治疗 系统的结构示意图  3 is a schematic structural view of an ultrasonic treatment system when the ultrasonic treatment head is spherical in the embodiment 1 of the present invention;
图 4 为图 3的俯视图  Figure 4 is a top view of Figure 3.
图 5 为本发明实施例 1中超声波治疗头入射时入射角示意图 图 6 为本发明实施例 2超声波治疗头为球面时超声波治疗系 统的结构示意图  5 is a schematic view showing an incident angle of an ultrasonic treatment head when it is incident according to Embodiment 1 of the present invention. FIG. 6 is a schematic view showing the structure of an ultrasonic treatment system when the ultrasonic treatment head is a spherical surface according to Embodiment 2 of the present invention.
图 7 为图 6的俯视图  Figure 7 is a top view of Figure 6.
图中: 1一超声波治疗头 2—监视装置 3—患者体表皮肤 4 一病灶 5—传输介质 6—连接部件 7—运动定位装置 θ、 α — 入射角 具体实施方式  In the figure: 1 ultrasonic treatment head 2 - monitoring device 3 - patient's body surface skin 4 a lesion 5 - transmission medium 6 - connecting part 7 - motion positioning device θ, α - incident angle
以下结合实施例和附图, 对本发明作进一步详细叙述。  The present invention will be further described in detail below with reference to the embodiments and the accompanying drawings.
如图 3、 4、 6、 7所示, 本发明的超声波治疗系统包括有超声波 治疗头 1、 监视装置 2、 以及使超声波治疗头 1运动的运动定位机构 7, 运动定位机构 7与超声波治疗头 1通过连接部件 6连接在一起。 其中监视装置可采用 Β超探头。超声波治疗头 1透过传输介质 5与患 者体表皮肤 3接触。  As shown in Figures 3, 4, 6, and 7, the ultrasonic treatment system of the present invention comprises an ultrasonic treatment head 1, a monitoring device 2, and a motion positioning mechanism 7 for moving the ultrasonic treatment head 1, a motion positioning mechanism 7 and an ultrasonic treatment head. 1 is connected together by a connecting member 6. The monitoring device can be a helium super probe. The ultrasonic treatment head 1 is in contact with the skin 3 of the patient's body surface through the transmission medium 5.
所述超声波治疗头 1 与人体接触处的形状与人体对应的体表形 状相吻合。 需要说明的是, 本发明技术中所提到的超声波治疗头与人 体接触处的体表形状相吻合是指宏观上整体形状上的吻合,在实际应 用时, 超声波治疗头并不需要一定要和人体表面形状完全吻合, 只要 达到基本相适即可。 The shape of the ultrasonic treatment head 1 in contact with the human body coincides with the shape of the body surface corresponding to the human body. It should be noted that the shape of the surface of the ultrasonic treatment head mentioned in the present invention is in agreement with the shape of the body surface at the contact point of the human body. When used, the ultrasonic treatment head does not need to be completely consistent with the shape of the human body surface, as long as it is basically suitable.
其中, 超声波治疗头 1 与人体接触处的表面积范围为 30000- 35000平方毫米。 如图 5所示, 当所述超声波治疗头与人体接 触处为球面时, 与人体的体表相适应, 该球面在 X轴与 Y轴两个方向 上对应的入射角 Θ与 α的大小不相同, 一入射角 Θ 的取值范围可为 90 ° — 110 ° ,另一入射角 α的取值范围可为 50 ° — 65 ° 。  Among them, the surface area of the ultrasonic treatment head 1 in contact with the human body ranges from 30,000 to 35,000 square millimeters. As shown in FIG. 5, when the ultrasonic treatment head is spherical with the human body, it is adapted to the body surface of the human body, and the spherical angle of the incident angle α and α in the X-axis and the Y-axis are not Similarly, an angle of incidence Θ can range from 90 ° to 110 °, and another angle of incidence α can range from 50 ° to 65 °.
以下为本发明的非限定性实施例:  The following are non-limiting examples of the invention:
实施例 1 :  Example 1
如图 3、 4所示, 本实施例的超声波治疗系统包括有超声波治疗 头 1、 监视装置 2、 以及使超声波治疗头 1运动的运动定位机构 7, 运动定位机构 7与超声波治疗头 1通过连接部件 6连接在一起。其中 监视装置 2釆用 Β超探头,超声波治疗头 1透过传输介质 5与患者体 表皮肤 3接触, 本实施例中, 传输介质 5采用脱气水。  As shown in FIGS. 3 and 4, the ultrasonic treatment system of the present embodiment includes an ultrasonic treatment head 1, a monitoring device 2, and a motion positioning mechanism 7 for moving the ultrasonic treatment head 1, and the motion positioning mechanism 7 is connected to the ultrasonic treatment head 1. The parts 6 are connected together. The monitoring device 2 uses a helium super probe, and the ultrasonic treatment head 1 is in contact with the skin 3 of the patient's body through the transmission medium 5. In this embodiment, the transmission medium 5 is deaerated water.
本实施例中, 超声波治疗头 1 与人体接触处的形状与人体对应 的体表形状 (即患者体表皮肤 3 ) 相吻合, 由于病灶 4为患者的肋骨 区域,因此本实施例中,超声波治疗头 1与人体接触处的形状为球面, 该球面的一个入射角 Θ为 105 ° , 另一入射角 ct为 60 ° , 该球面的表 面积约为 34000平方毫米。  In this embodiment, the shape of the contact portion of the ultrasonic treatment head 1 with the human body coincides with the shape of the body surface corresponding to the human body (ie, the skin surface 3 of the patient's body surface), and since the lesion 4 is the rib region of the patient, in this embodiment, the ultrasonic treatment The shape of the head 1 in contact with the human body is a spherical surface, the incident angle Θ of the spherical surface is 105 °, the other incident angle ct is 60 °, and the surface area of the spherical surface is about 34,000 square millimeters.
在使用本发明的超声波治疗系统时, 首先固定患者的体位, 在 监视装置 2的引导下, 调节运动定位机构 7, 并调节超声波治疗头 1 使其处于向病灶 4发射的最佳位置,超声波治疗头 1对病灶 4发射超 声波, 使超声波入射方向尽可能沿患者体表皮肤 3法线方向, 避开可 能伤及的其它组织,超声波透过传输介质 5到达病灶 4对患者进行治 疗,这样不但保证了治疗所需的超声波总能量而且可以使声通道上其 它组织的平均声强最小。  When using the ultrasonic treatment system of the present invention, the patient's body position is first fixed, and under the guidance of the monitoring device 2, the motion positioning mechanism 7 is adjusted, and the ultrasonic treatment head 1 is adjusted to be in the optimal position for firing to the lesion 4, and the ultrasonic treatment is performed. The first 1 emits ultrasonic waves to the lesion 4, so that the direction of the ultrasonic wave is along the normal direction of the skin of the patient's body surface as much as possible, avoiding other tissues that may be injured, and the ultrasonic wave passes through the transmission medium 5 to reach the lesion 4 to treat the patient, so that not only is the guarantee The total ultrasonic energy required for treatment is also minimized by the average sound intensity of other tissues on the acoustic channel.
现有技术中超声波治疗头外径一般为 100-150毫米, 而本实施例 中超声波治疗头的外径为 220 毫米, 显然, 声通道面积加大, 在总输 出声功率相同的前提下可以降低单位面积上的声强, 治疗的安全性得 到提高。 实施例 2 : In the prior art, the outer diameter of the ultrasonic treatment head is generally 100-150 mm, and in the present embodiment, the outer diameter of the ultrasonic treatment head is 220 mm. Obviously, the area of the acoustic channel is increased, and the total output sound power can be reduced under the same conditions. The sound intensity per unit area is improved and the safety of treatment is improved. Example 2:
如图 6、 7所示, 在本实施例中, 另一患者的病灶 4的位置与实 施例 1不同,超声波治疗头 1仍采用与人体接触处的体表形状相吻合 的球面, 该球面的一个入射角 Θ为 110 ° , 另一入射角 α为 65° , 其 表面积约为 35000平方毫米,超声波治疗头 1与患者体表皮肤 3相接 触处的形状和患者体表皮肤 3的形状相吻合。  As shown in FIGS. 6 and 7, in the present embodiment, the position of the lesion 4 of the other patient is different from that of the first embodiment, and the ultrasonic treatment head 1 still adopts a spherical surface that matches the shape of the body surface at the contact with the human body, and the spherical surface One incident angle Θ is 110 °, the other incident angle α is 65°, and the surface area is about 35000 mm 2 . The shape of the ultrasonic treatment head 1 in contact with the skin surface of the patient's body surface is consistent with the shape of the skin 3 of the patient's body surface. .
本实施例的其它组成部分及功能均与实施例 1 相同, 在此不再 赘述。  The other components and functions of the embodiment are the same as those of the embodiment 1, and are not described herein again.

Claims

权利要求书 Claim
1. 一种超声波治疗头, 其特征在于所述超声波治疗头与人体接 触处的表面积范围为 30000— 35000平方毫米。 An ultrasonic treatment head characterized in that the surface area of the ultrasonic treatment head in contact with the human body ranges from 30,000 to 35,000 square millimeters.
2. 根据权利要求 1所述的超声波治疗头, 其特征在于所述超声 波治疗头与人体接触处的形状与人体对应的体表形状相吻合。 2. The ultrasonic treatment head according to claim 1, wherein the shape of the ultrasonic treatment head in contact with the human body coincides with the shape of the body surface corresponding to the human body.
3. 根据权利要求 2所述的超声波治疗头, 其特征在于所述超声 波治疗头与人体接触处为球面, 其一入射角 Θ的取值范围为 90 ° — 110 ° ,另一入射角 α的取值范围为 50 ° —65 ° 。 3. The ultrasonic treatment head according to claim 2, wherein the ultrasonic treatment head is in contact with the human body as a spherical surface, and an incident angle Θ ranges from 90 ° to 110 °, and another incident angle α The range is from 50 ° to 65 °.
4.一种超声波治疗头, 其特征在于所述超声波治疗头与人体接 触处的形状与人体对应的体表形状相吻合。 An ultrasonic treatment head characterized in that the shape of the ultrasonic treatment head in contact with the human body coincides with the shape of the body surface corresponding to the human body.
5.根据权利要求 4所述的超声波治疗头, 其特征在于所述超声 波治疗头与人体接触处的表面积范围为 30000— 35000 平方毫米。 The ultrasonic treatment head according to claim 4, wherein the surface area of the ultrasonic treatment head in contact with the human body ranges from 30,000 to 35,000 square millimeters.
6. 根据权利要求 5所述的超声波治疗头, 其特征在于所述超声 波治疗头与人体接触处为球面, 其一入射角 Θ的取值范围为 90 ° — 110 ° ,另一入射角 α的取值范围为 50 ° — 65。 。 The ultrasonic treatment head according to claim 5, wherein the ultrasonic treatment head is in contact with the human body as a spherical surface, and an incident angle Θ ranges from 90 ° to 110 °, and another incident angle α The range is from 50 ° to 65. .
7.—种含有权利要求 1一 6之一所述的超声波治疗头的超声波治 疗系统。 An ultrasonic treatment system comprising the ultrasonic treatment head according to any one of claims 1 to 6.
8.根据权利要求 7 所述的超声波治疗系统, 其特征在于超声波 治疗头的中心有监控装置, 监控装置采用 Β超探头。 8. The ultrasonic treatment system according to claim 7, wherein the ultrasonic treatment head has a monitoring device at the center, and the monitoring device uses a helium super probe.
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