CN105928584B - Volume measurement device and its measurement method are knitted in body group of tumor resection - Google Patents

Volume measurement device and its measurement method are knitted in body group of tumor resection Download PDF

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Publication number
CN105928584B
CN105928584B CN201610440346.2A CN201610440346A CN105928584B CN 105928584 B CN105928584 B CN 105928584B CN 201610440346 A CN201610440346 A CN 201610440346A CN 105928584 B CN105928584 B CN 105928584B
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China
Prior art keywords
upper housing
volume
film
lower case
tumor resection
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Expired - Fee Related
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CN201610440346.2A
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Chinese (zh)
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CN105928584A (en
Inventor
韩宝三
叶萍
刘婷
陈园园
叶园园
徐枫
李志臻
沈怡君
汪登斌
刘颖斌
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XinHua Hospital Affiliated To Shanghai JiaoTong University School of Medicine
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XinHua Hospital Affiliated To Shanghai JiaoTong University School of Medicine
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Priority to CN201610440346.2A priority Critical patent/CN105928584B/en
Publication of CN105928584A publication Critical patent/CN105928584A/en
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    • GPHYSICS
    • G01MEASURING; TESTING
    • G01FMEASURING VOLUME, VOLUME FLOW, MASS FLOW OR LIQUID LEVEL; METERING BY VOLUME
    • G01F17/00Methods or apparatus for determining the capacity of containers or cavities, or the volume of solid bodies

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  • Physics & Mathematics (AREA)
  • Fluid Mechanics (AREA)
  • General Physics & Mathematics (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)
  • Prostheses (AREA)

Abstract

The present invention relates to one kind to knit volume measurement device and its measurement method in body group of tumor resection; upper housing, lower case are hollow hemisphere body; film is connected separately on the inside of upper housing, lower case, lower film constitutes two independent confined spaces; it is connected by a hinge between upper housing and lower case, aspirating hole, vascular protection hole is provided on the contact surface of upper housing and lower case.Its measurement method includes:The suitable volume measurement device of selection, it is known that upper housing and the intracorporal fixed volume V of lower casingGu;Liquid is injected between upper housing and upper film, lower case and lower film, the air between film, lower film and tissue is taken out, the liquid volume V for entering shell is read by volume flowmeterLiquid;Volume V is knitted in body group of tumor resectionTissue=VGu‑VLiquid.It invention can be widely used in the volume size of cut skin flap tissues in assessment Mammaplasty reparation and reconstruction, it can also be used to measure the volume size knitted in all kinds of surgical operations in body group of tumor resection.

Description

Volume measurement device and its measurement method are knitted in body group of tumor resection
Technical field
The present invention relates to one kind to knit volume measurement device in body group of tumor resection, more particularly to one kind is repaired for Mammaplasty It performs the operation in multiple and reconstruction in body and cuts off the volume measurement device and its measurement method of breast tissue.
Background technique
Pediculated skin grafting is especially widely used in breast reconstruction operation in plastic operation, such as band base of a fruit back is wealthy Flesh musculocutaneous flap grafting art, intercostal vessels artery perforator flap transplantation etc..Pediculated skin grafting is to retain the same of its vasa vasorum When, muscle and its skin on surface, subcutaneous tissue are transplanted to defect point, to achieve the purpose that shaping and reparation.Due to difference Doctor is larger to the cognition sense difference of number, length and volume, very big especially for the rough range estimation difference of volume, in addition logical The adjacent tissue often cut is most soft, and the majority operation moment is difficult to accurately cut the tissue volume of preoperative idealized design Number, actually, no matter volume number difference is excessive or the too small aesthetics that can all influence reconstructive breast, so as to cause patient's It is dissatisfied, in addition, excessive resection organization's amount will affect the function and shape of donor site, increase unnecessary operation wound.With cream For room reconstruction, the breast of adult female is the hemispherical or water-drop-shaped of left and right almost symmetry, the cut flap of the estimation of mistake The volume of tissue will lead to flap in art and be difficult to backfill or the asymmetry etc. of postoperative two sides breast, seriously affects beauty.And in body The measurement of group volume cannot borrow simple drainage graduated cylinder measurement, because its vasa vasorum is connected in always body and is responsible for cutting group The blood supply knitted.To prevent postoperative skin flap downright bad, it is necessary to assure the blood fortune of skin flap is abundant, and the length that its vasa vasorum can dissociate Spend it is limited, how can quickly and accurately measure during surgery cut musculocutaneous flap tissue volume and non-detachment its Supply vessels are a big difficulties that pediculated skin grafting reconstruction is applied in accurate reduction.
In the patent of publicity or authorization related to the present invention, common irregularly shaped object volume measurement device and measurement side Most of patent is to obtain object after being scanned rear three-dimensionalreconstruction, calculating to object using the methods of optics, acoustics in method Volume.Trunk is obtained by scanning as patent ZL201310745819.6 is proposed, the threedimensional model of ribbed shape carrys out structure The threedimensional model of breast area is built to obtain breast volume;Patent ZL201310177262.0 proposes a kind of by obtaining object Body top view, left view, right view carry out three-dimensionalreconstruction, pass through the vision measurement side of calculated for pixel values irregularly shaped object volume Method.Above-mentioned apparatus and measurement method are required to special equipment and professional operator, for the three-dimensional mould for obtaining enough accuracy Type, the modeling time needs dozens of minutes to a few houres, but its is maximum the disadvantage is that due to having before excision with human body in body tissue One or the shorter vasa vasorum of several length are connected, this makes scanning process more difficult, can not be fast to carrying out in body tissue Fast accurately cubing.And traditional drainage measures volume, needs to be totally submerged testee in liquid, is difficult to protect The integral asepsis of measurement process is demonstrate,proved, and test serum and the length of human body connected blood vessels are shorter, also further limit tradition Drainage knits the application in volume in body group of tumor resection in measurement.Patent ZL02135736.6 proposes one kind in hollow sphere Two liquid capsules of interior installation measure object volume by being put into after object discharge liquid volume in measurement sphere.But patent Capsule and measurement error caused by object gap when ZL02135736.6 does not measure rough object, while in intracapsular storage Liquid solution breeds bacterium, violates the sterile principle of surgical procedure, and rupture will will cause more when intracapsular liquid is in measurement Serious accident surgery.It is a kind of special for knitting volume measurement device and its survey in body group of tumor resection it is therefore desirable to develop Amount method.
Summary of the invention
The present invention is to provide for one kind and knits volume measurement device and its measurement method in body group of tumor resection, whole for solving It is difficult to accurately and fast to measure in shape reparation and reconstruction to be cut the body tissue volume the technical issues of.
To achieve the above object, the technical scheme is that:One kind knitting volume measurement device in body group of tumor resection, packet Include volume flowmeter, check valve, dispenser, pressure indicator, upper housing, upper film, hinge, seal washer, lower film, lower casing Body, the upper housing, lower case are hollow hemisphere body, are connected separately with film, lower film on the inside of the upper housing, lower case Two independent confined spaces are constituted, are connected by a hinge between the upper housing and lower case, and upper housing and lower case Contact surface is equipped with seal washer, is provided with aspirating hole, vascular protection hole on the contact surface of upper housing and lower case;The upper housing top End is equipped with pressure indicator;Be respectively provided with the inlet opening being connected to confined space on the upper housing, lower case, two into The connection of two outlet tubes of fluid apertures and dispenser, the inlet tube of dispenser connect volume flowmeter by check valve.
The upper housing, lower case are made of metal or PP or PE duroplasts, upper housing, lower case thickness be greater than 1mm; To guarantee cubing precision, upper housing and the intracorporal fixed volume of lower casing are 250~1000ml.
The upper film, lower film are made of latex material, upper film, lower film thickness be less than 0.1mm, burst pressure Greater than 2.0Kpa.
Gas stop valve is housed on the dispenser;Dispenser is made of PVC material.
Before cubing, described two confined spaces are vacuumized, and close gas stop valve after vacuumizing.
A method of volume measurement device measurement being knitted in body tissue volume using in body group of tumor resection, and step is: Before measurement, selecting fixed volume first is 1.5~2 times of volume measurement device of volume to be measured, by the upper of volume measurement device Film and upper housing, lower film and lower case fit closely together, learn upper housing and the intracorporal fixed volume V of lower casingGu;It will Tissue is put between upper housing and the intracorporal upper film of lower casing and lower film, and the blood vessel connecting with human body is put into vascular protection hole It is interior, gas stop valve is opened, then up the confined space between the confined space between shell and upper film, lower case and lower film Inject liquid;Again by the negative pressure system of aspirating hole connection operating room, the air between film, lower film and tissue is taken out, is made Film, lower film and tissue tight fit together, and when pressure indicator pops up upper housing, stop injecting fluid, pass through body Product flowmeter reads the liquid volume V for entering upper housing and lower caseLiquid;Pass through formula:VTissue=VGu-VLiquidIt calculates and is cut in body operation Except tissue volume.
The injection liquid is sterile saline.
The beneficial effects of the invention are as follows:
1. the effect that aspirating hole persistently vacuumizes makes to remain certain between film and tissue in tissue volume measurement process Negative pressure, film is bonded with tissue tight, prevents from generating gap with film at tissue bumps, volume measurements are accurate;
2. just injecting liquid in measurement, it can be effectively prevent device storing process bacteria breed, film has completely cut off physiology salt Water is directly contacted with tissue, and injection device liquid is sterile saline, just in case film breaks leakage will not pollute tissue, Whole device design meets the sterile principle of surgical instrument;
3. easy to operate, vascular protection mouth can prevent tissue blood vessel to be damaged in measurement process, and time of measuring is short, favorably In saving operating time;
4. pressure indicator can effectively prevent, water injection pressure is excessive to lead to film breaks, again avoid physiological saline with Tissue directly contacts.
4. device is small and exquisite, easy to carry, convenient for being operated in narrow aseptic operation room;
5. structure is simple, cheap.
Detailed description of the invention
Fig. 1 is the structure sectional view of the invention that volume measurement device is knitted in body group of tumor resection;
Fig. 2 is the structure top view of the invention that volume measurement device is knitted in body group of tumor resection.
Fig. 3 is connection structure 3 D stereo schematic diagram between upper housing and lower case.
Specific embodiment
The present invention is described in detail below in conjunction with drawings and examples.
Such as Fig. 1, shown in 2,3, one kind of the invention knits volume measurement device, including volume flowmeter in body group of tumor resection 1, check valve 2, dispenser 3, pressure indicator 4, upper housing 5, upper film 6, hinge 7, seal washer 8, aspirating hole 9, blood vessel are protected Guard aperture 10, lower film 11, lower case 12, gas stop valve 13.
Upper housing 5, lower case 12 are hollow hemisphere body, be connected separately on the inside of upper housing 5, lower case 12 film 6, under Film 11 constitutes two independent confined spaces, is connected between upper housing 5 and lower case 12 by hinge 7, and upper housing 5 is under Shell 1)Contact surface on seal washer 8 is housed, be provided with aspirating hole 9, vascular protection on the contact surface of upper housing 5 and lower case 12 Hole 10,5 top of upper housing are equipped with pressure indicator 4, are respectively provided with one on upper housing 5, lower case 12 and are connected to confined space Inlet opening, two inlet openings connect with two outlet tubes of dispenser 3, and the inlet tube of dispenser 3 passes through 2 connector of check valve Product flowmeter 1.
Upper housing 5, lower case 12 are made of metal or PP or PE duroplasts, upper housing 5, lower case 12 thickness be greater than 1mm.To guarantee cubing precision, upper housing 5 and lower case 1)Interior fixed volume is 250~1000ml.Upper film 6, under Film 11 is made of latex material, upper film 6, lower film 11 thickness be less than 0.1mm, burst pressure be greater than 2.0Kpa.Liquid separation Device 3 is made of PVC material, and gas stop valve 13 is housed on dispenser 3.Before cubing, two confined spaces are vacuumized, and are taken out Gas stop valve 13 is closed after vacuum.
As shown in Fig. 2, one kind knits volume measurement device in body group of tumor resection and can have multiple vascular protection holes 10(Generally No more than three blood vessels), different devices can be selected according to the number of cut tissue blood vessel.
As shown in figure 3, upper housing 5, lower case 12 are respectively provided with inlet, 5 top of upper housing is equipped with pressure indicator 4, on Shell 5 is connect with lower case 12 by hinge 7, is provided with aspirating hole 9, vascular protection hole on the contact surface of shell 5 and lower case 12 10。
A kind of method measured using volume measurement device is knitted in body group of tumor resection in body tissue volume of the invention, Include the following steps:
(1)According to the blood vessel number for needing resection organization, what the selection of approximate volume size was suitble to knits body in body group of tumor resection Product measuring device, to guarantee measurement accuracy, the intracorporal fixed volume of shell is 1.5~2 times of volume to be measured, it is known that shell is intracorporal solid Determine volume VGu
(2)It will organize the blood connecting between the upper film 6 and lower film 11 that are put into upper housing 5 and lower case 12 with human body Pipe is put into vascular protection hole 10, opens gas stop valve 13, two fluid holes point that sterile saline is passed through dispenser 3 Not Zhu Ru in the confined space of upper housing 5 and upper film 6, lower case 12 and lower film 11, can one side injecting fluid, observe on one side Pressure indicator 4, due to the effect of check valve 2, liquid will not flow back, and aspirating hole 9 connects the negative pressure system of operating room, take out thin Air between film and tissue, makes film 6, lower film 11 fit together with tissue tight, to prevent film breaks from causing to give birth to Reason salt water is directly contacted with tissue, when pressure indicator 4 pops up upper housing 5, is stopped injecting fluid, is passed through volume flowmeter 1 Read the liquid volume V for entering shellLiquid
(3)It calculates and knits volume in body group of tumor resection:VTissue=VGu-VLiquid
The present invention has cubing precision high, and measurement process is sterile and to pollution-free in body tissue, and structure is simple, cost Cheap, easy to operate, device is small and exquisite, easy to carry, is particularly suitable for the features such as being operated in narrow aseptic operation room. It can be used for assessing the volume size of cut skin flap tissues tissue in Mammaplasty reparation and reconstruction, it can also be used to measure all kinds of surgeries The volume size knitted in operation in body group of tumor resection.

Claims (5)

1. a kind of knit volume measurement device in body group of tumor resection, including volume flowmeter (1), check valve (2), dispenser (3), Pressure indicator (4), upper housing (5), upper film (6), hinge (7), seal washer (8), lower film (11), lower case (12), It is characterized in that:The upper housing (5), lower case (12) are hollow hemisphere body, the upper housing (5), lower case (12) inside It is connected separately with film (6), lower film (11) constitutes two independent confined spaces, the upper housing (5) and lower case (12) connected between by hinge (7), and the contact surface of upper housing (5) and lower case (12) is equipped with seal washer (8), it is described on Aspirating hole (9), vascular protection hole (10) are provided on shell (5) and the contact surface of lower case (12);On upper housing (5) top Equipped with pressure indicator (4);It is respectively provided with the inlet opening being connected to confined space on the upper housing (5), lower case (12), Two inlet openings are connect with two outlet tubes of dispenser (3), and the inlet tube of dispenser (3) connects volume by check valve (2) Flowmeter (1).
2. knitting volume measurement device in body group of tumor resection according to claim 1, it is characterised in that:The upper housing (5), Lower case (12) is made of metal or PP or PE duroplasts, upper housing (5), lower case (12) thickness be greater than 1mm;To guarantee body Measurement accuracy is accumulated, the fixed volume in upper housing (5) and lower case (12) is 250~1000ml.
3. knitting volume measurement device in body group of tumor resection according to claim 1, it is characterised in that:The upper film (6), Lower film (11) is made of latex material, upper film (6), lower film (11) thickness be less than 0.1mm, burst pressure is greater than 2.0Kpa。
4. knitting volume measurement device in body group of tumor resection according to claim 1, it is characterised in that:The dispenser (3) It is upper that gas stop valve (13) are housed;The dispenser (3) is made of PVC material.
5. knitting volume measurement device in body group of tumor resection according to claim 1, it is characterised in that:Before cubing, Described two confined spaces vacuumize, and close gas stop valve (13) after vacuumizing.
CN201610440346.2A 2016-06-20 2016-06-20 Volume measurement device and its measurement method are knitted in body group of tumor resection Expired - Fee Related CN105928584B (en)

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Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102892456A (en) * 2010-05-13 2013-01-23 萨诺瓦斯股份有限公司 Resector balloon system
CN103446636A (en) * 2007-12-20 2013-12-18 沃特克斯医学公司 Systems and methods for removing undesirable material within a circulatory system
CN103747754A (en) * 2011-06-14 2014-04-23 艾琳医药股份有限公司 Devices for treating nasal airways
CN204698615U (en) * 2015-03-27 2015-10-14 岳长路 Novel skin dilator

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103446636A (en) * 2007-12-20 2013-12-18 沃特克斯医学公司 Systems and methods for removing undesirable material within a circulatory system
CN102892456A (en) * 2010-05-13 2013-01-23 萨诺瓦斯股份有限公司 Resector balloon system
CN103747754A (en) * 2011-06-14 2014-04-23 艾琳医药股份有限公司 Devices for treating nasal airways
CN204698615U (en) * 2015-03-27 2015-10-14 岳长路 Novel skin dilator

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