CN109199551A - Stereotaxic technique between individuation Naokong - Google Patents
Stereotaxic technique between individuation Naokong Download PDFInfo
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- CN109199551A CN109199551A CN201811232936.1A CN201811232936A CN109199551A CN 109199551 A CN109199551 A CN 109199551A CN 201811232936 A CN201811232936 A CN 201811232936A CN 109199551 A CN109199551 A CN 109199551A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/10—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
- A61B90/11—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis with guides for needles or instruments, e.g. arcuate slides or ball joints
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Abstract
The invention discloses stereotaxic techniques between a kind of individuation Naokong, by the concept for introducing face, axis, angle in head outer surface, again subregion is named, it obtains by operation face, 3 auxiliary positioning faces, 5 axis, connected integrated " 2 jiaos of 4 face, 5 axis " the three-dimensional space structure constituted in 2 angles, then the image data on head surface is obtained from head CT, using 3D printer, the three-dimensional space stereochemical structure of " 2 jiaos of 4 face, 5 axis " of head is printed into integral head surface element;Head surface element is bonded to reset completely with head surface, so that assisting minimally invasive diagnosis, interventional therapy cerebral disease after the point on the point and head surface element on operation face is completely coincident.The present invention can be realized while outside cranium to stereoscopic localized encephalic cerebral lesion tissue spininess road, different angle, the Naokong of multi-point.
Description
Technical field
The present invention relates to positioning fields between Naokong, and in particular to stereotaxic technique between a kind of individuation Naokong.
Background technique
Stereotaxic instrument between the Naokong of clinical application at present once can be only done and position outside cranium to the single needle of encephalic, lead to
It is usually used in the diagnosis of intracranial tumors.Still can outside cranium to some space of encephalic simultaneously not carry out spininess road, different angle,
The instrument of multi-point auxiliary positioning, the treatment for clinical auxiliary intracranial disease.
Summary of the invention
To solve the above problems, the present invention provides stereotaxic techniques between a kind of individuation Naokong, using human head outside
Stereotaxic technique between the anatomical features on surface and the individuation Naokong of cerebral CT design data can be realized while right outside cranium
Cerebral lesion tissue in some space of encephalic carries out the space multistory positioning of spininess road, different angle, multi-point, assists minimally invasive examine
Disconnected, interventional therapy cerebral disease.
To achieve the above object, the technical scheme adopted by the invention is as follows:
Stereotaxic technique between individuation Naokong, characterized by the following steps:
S1, the face amount that head forehead, tempori sinistro, tempori dextro, occipitalia and top are respectively designated as to head, left temporo face,
Right temporo face, pillow top and top surface, 5 faces have been interconnected to constitute the outer surface of head;Another face is transitioned into from a face to show
For relatively gentler direction turnover, the turnover region between face and face is known as axis, is named with two adjacent faces, face amount and top
The turnover region in face is named as " volume apical axis ", and similarly other 7 axis are: left volume temporo axis, right volume temporo axis, left pillow temporo axis, right pillow temporo
Axis, left temporo apical axis, right temporo apical axis rest the head on apical axis;
The intersectional region of three axis is named as angle, head shares 4 angles, by being all around respectively designated as head:
Left-front corner, right anterior angle, left rear corner, right relief angle;
By the function in each face, that face performed a surgical operation is known as operation face, other 3, head adjacent with operation face
Face, referred to as auxiliary positioning face, operation face are normally placed at face amount, left temporo face, right temporo face, that close from encephalic cerebral disease in pillow top
On face;
It is adjacent that any one operation face in head only has 3 faces, after operation face determines, auxiliary positioning face therewith depending on, hand
Art face passes through 3 axis respectively and is connected with 3 auxiliary positioning faces, by 2 parallel axis connections one between 3 auxiliary positioning faces
It rises, in X, Y, Z three dimensionality space, 2 axis moved towards in parallel on operation face constitute a face on X-dimension space, tie up with Z
The α axis right angle intersection on the operation face of space is spent, both ends are C, D two o'clock, and 2 that secondary surface is connected in Y dimensional space walk in parallel
To the face that constitutes of axis, the as top surface of head, also with a axis right angle intersection on the operation face of Z-dimension space, both ends are also in C, D
In two o'clock, the face Jing Guo C, D two o'clock respectively on Z-dimension space, and both perpendicular to the operation face and top in X, Y dimensional space
Face, is other two auxiliary positioning face, and C, D two o'clock are two angles on head surface, a axis and four additional axis by three-dimensional space
Four interior faces link together, and constitute integrated " 2 jiaos of 4 face, 5 axis " three-dimensional space structure;
S2, the image data that head surface is obtained from head CT, using 3D printer,
The three-dimensional space stereochemical structure of " 2 jiaos of 4 face, 5 axis " of head is printed into integral head surface element;
S3, head surface element is bonded to reset completely with head surface, so that point and head surface structure on operation face
Point on part is completely coincident;
S4, in head CT data, design the puncture needle from operation face to encephalic cerebral lesion position of multiple and different angles
Road finds corresponding point of puncture on head component operation face, and needle track guiding carrier, guiding carrier are designed on the position of point of puncture
Needle track guide hole is arranged in the position of center point of puncture, and records length of each needle track from head surface to encephalic, and such brain is worn
Thorn medical needle can complete the treatment of intracranial disease under the guidance of head surface element needle track guiding carrier.
The invention has the following advantages:
Stereoscopic localized component between disposable Naokong can be designed and produced out according to everyone different head CT data,
It can be realized while the space multistory outside cranium to encephalic cerebral lesion tissue spininess road, different angle, multi-point positions, realize
Assist minimally invasive diagnosis, interventional therapy cerebral disease.
Detailed description of the invention
Fig. 1 is the stable space frame that 5 axis in the three-dimensional space in the embodiment of the present invention are constituted.
Specific embodiment
The present invention is described in detail combined with specific embodiments below.Following embodiment will be helpful to the technology of this field
Personnel further understand the present invention, but the invention is not limited in any way.It should be pointed out that the ordinary skill of this field
For personnel, without departing from the inventive concept of the premise, various modifications and improvements can be made.These belong to the present invention
Protection scope.
Stereotaxic technique between the individuation Naokong that the present invention is implemented, includes the following steps:
S1, the face amount that head forehead, tempori sinistro, tempori dextro, occipitalia and top are respectively designated as to head, left temporo face,
Right temporo face, pillow top and top surface, 5 faces have been interconnected to constitute the outer surface of head;Another face is transitioned into from a face to show
For relatively gentler direction turnover, the turnover region between face and face is known as axis, is named with two adjacent faces, face amount and top
The turnover region in face is named as " volume apical axis ", and similarly other 7 axis are: left volume temporo axis, right volume temporo axis, left pillow temporo axis, right pillow temporo
Axis, left temporo apical axis, right temporo apical axis rest the head on apical axis;
The intersectional region of three axis is named as angle, head shares 4 angles, by being all around respectively designated as head:
Left-front corner, right anterior angle, left rear corner, right relief angle;Face, axis, angle respectively represent a region, between without specific boundary line delimitation, often
A human head differs greatly, some regions are not obvious;
By the function in each face, that face performed a surgical operation is known as operation face, other 3, head adjacent with operation face
Face, referred to as auxiliary positioning face, operation face are normally placed at face amount, left temporo face, right temporo face, that close from encephalic cerebral lesion in pillow top
On face;
It is adjacent that any one operation face in head only has 3 faces, after operation face determines, auxiliary positioning face therewith depending on, hand
Art face passes through 3 axis respectively and is connected with 3 auxiliary positioning faces, by 2 parallel axis connections one between 3 auxiliary positioning faces
It rises, in X, Y, Z three dimensionality space, 2 axis moved towards in parallel on operation face constitute a face on X-dimension space, tie up with Z
The α axis right angle intersection on the operation face of space is spent, both ends are C, D two o'clock, and 2 that secondary surface is connected in Y dimensional space walk in parallel
To the face that constitutes of axis, the as top surface of head, also with a axis right angle intersection on the operation face of Z-dimension space, both ends are also in C, D
In two o'clock, the face Jing Guo C, D two o'clock respectively on Z-dimension space, and both perpendicular to the operation face and top in X, Y dimensional space
Face, is other two auxiliary positioning face, and C, D two o'clock are two angles on head surface, a axis and four additional axis by three-dimensional space
Four interior faces link together, and constitute integrated " 2 jiaos of 4 face, 5 axis " three-dimensional space structure;4 faces are operation face, auxiliary
The two auxiliary positioning faces in top surface and left and right of positioning surface are helped, 5 axis in three-dimensional space constitute a stable space structure
Frame (Fig. 1);
S2, the image data that head surface is obtained from head CT, using 3D printer, by " 4 face, 5 axis 2 of head
The three-dimensional space stereochemical structure at angle " prints integral head surface element;
S3, head surface element is bonded to reset completely with head surface, 5 axis on head surface and 2 angles can make
Component is easier to be bonded reset with head surface, increases the precision of reset, and component is dropped in the error that head surface resets
To minimum.Corresponding left and right two secondary surfaces, limit the movement of component in the lateral direction, the operation of component on component
Head surface is tightly attached in face, and component is prevented to prevent component from doing to sufficient side direction from doing the movement to head direction, head top surface
Movement, around three-dimensional space, on upper and lower six direction, component is merely able to do upwards or forward that 90 degree just
The movement that head direction is left to range lining, when people's dorsal position, due to the effect of gravity, or one effect of artificial addition
Power, so that it may so that component is tightly attached to head surface, can be avoided component and do movement in any direction in three-dimensional space.Have
The head surface element of stereoeffect, can make the operation face on component obtain splendid space reset property, stability and
Mobility resistant.A point or multiple points are arbitrarily selected on operation face, these points can be in the operation of head surface element
Corresponding point is found on face, after head surface element resets completely, point on operation face will in head surface element
Point be completely coincident.
S4, in head CT data, design the puncture needle from operation face to encephalic cerebral lesion position of multiple and different angles
Road finds corresponding point of puncture on head component operation face, and needle track guiding carrier, guiding carrier are designed on the position of point of puncture
Needle track guide hole is arranged in the position of center point of puncture, and records length of each needle track from head surface to encephalic, and such brain is worn
Thorn medical needle can complete the treatment of intracranial disease under the guidance of head surface element needle track guiding carrier.
Embodiment
It is illustrated and is described using face amount as operation face, 3 auxiliary positioning faces being connected with face amount are left temporo face, top surface and right temporo
Face, left volume temporo axis and right volume temporo axis and human body cephalopodium trend are consistent, and left temporo apical axis is identical with human body front-rear direction with right temporo apical axis,
The axis that this about 2 and 2 front and backs are moved towards meets on the volume apical axis of left and right trend two-by-two respectively, constitutes the left-front corner of head
With right anterior angle, 4 connected faces of 5 axis and 2 angles constitute a complete structure in three-dimensional space, and it is complete to form a structure
Whole, spatial stability three-dimensional structure.
S1, the image data that head surface is obtained from head CT, using 3D printer, by " 4 face, 5 axis 2 of head
The three-dimensional space stereochemical structure at angle " prints integral head surface element;
S2, head surface element is bonded to reset completely with head surface, so that point and head surface structure on operation face
Point on part is completely coincident;
S3, in head CT data, design the puncture needle from operation face to encephalic cerebral lesion position of multiple and different angles
Road finds corresponding point of puncture on head component operation face, and needle track guiding carrier, guiding carrier are designed on the position of point of puncture
Needle track guide hole is arranged in the position of center point of puncture, and records length of each needle track from head surface to encephalic, and such brain is worn
Thorn medical needle can complete the diagnosing and treating of intracranial disease under the guidance of head surface element needle track guiding carrier.
Specific embodiments of the present invention are described above.It is to be appreciated that the invention is not limited to above-mentioned
Particular implementation, those skilled in the art can make a variety of changes or modify within the scope of the claims, this not shadow
Ring substantive content of the invention.In the absence of conflict, the feature in embodiments herein and embodiment can any phase
Mutually combination.
Claims (1)
1. stereotaxic technique between individuation Naokong, characterized by the following steps:
S1, the face amount that head forehead, tempori sinistro, tempori dextro, occipitalia and top are respectively designated as to head, left temporo face, right temporo
Face, pillow top and top surface, 5 faces have been interconnected to constitute the outer surface of head;
Turnover region between face and face is known as axis, is named with two adjacent faces, the turnover region name of face amount and top surface
For " volume apical axis ", similarly other 7 axis are: left volume temporo axis, right volume temporo axis, left pillow temporo axis, right pillow temporo axis, left temporo apical axis, right temporo
Apical axis rests the head on apical axis;
The intersectional region of three axis is named as angle, head shares 4 angles, by being all around respectively designated as head: left front
Angle, right anterior angle, left rear corner, right relief angle;
By the function in each face, that face performed a surgical operation is known as operation face, head other 3 faces adjacent with operation face,
Referred to as auxiliary positioning face;
It is adjacent that any one operation face in head only has 3 faces, after operation face determines, auxiliary positioning face therewith depending on, face of performing the operation
It is connected respectively by 3 axis with 3 auxiliary positioning faces, between 3 auxiliary positioning faces together by 2 parallel axis connections,
In X, Y, Z three dimensionality space, 2 axis moved towards in parallel on operation face constitute a face on X-dimension space, with Z-dimension
α axis right angle intersection on the operation face of space, both ends are C, D two o'clock, and 2 parallel trends of secondary surface are connected in Y dimensional space
The face that constitutes of axis, the as top surface of head, also with a axis right angle intersection on the operation face of Z-dimension space, both ends are also in C, D two
On point, the face Jing Guo C, D two o'clock respectively on Z-dimension space, and both perpendicular to the operation face and top in X, Y dimensional space
Face, is other two auxiliary positioning face, and C, D two o'clock are two angles on head surface, a axis and four additional axis by three-dimensional space
Four interior faces link together, and constitute integrated " 2 jiaos of 4 face, 5 axis " three-dimensional space structure;
S2, the image data that head surface is obtained from head CT, using 3D printer, by the three of " 2 jiaos of 4 face, 5 axis " of head
Dimension space stereochemical structure prints integral head surface element;
S3, head surface element is bonded to reset completely with head surface, so that on the point and head surface element on operation face
Point be completely coincident;
S4, in head CT data, design the puncture needle track from operation face to encephalic cerebral lesion position of multiple and different angles,
Head component finds corresponding point of puncture on operation face, and needle track guiding carrier, guiding carrier center are designed on the position of point of puncture
Needle track guide hole is arranged in the position of point of puncture, and records length of each needle track from head surface to encephalic, and such brain puncture is controlled
The treatment of intracranial disease can be completed under the guidance of head surface element needle track guiding carrier by treating needle.
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Cited By (1)
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CN111407376A (en) * | 2020-04-16 | 2020-07-14 | 赵华 | Technology for puncturing intracranial brain space structure by three-dimensional positioning on surface of skull |
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