CN109893176A - Breast biopsy residual cavity precise positioning device, localization method and without tumor cutting method - Google Patents
Breast biopsy residual cavity precise positioning device, localization method and without tumor cutting method Download PDFInfo
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- CN109893176A CN109893176A CN201910237946.2A CN201910237946A CN109893176A CN 109893176 A CN109893176 A CN 109893176A CN 201910237946 A CN201910237946 A CN 201910237946A CN 109893176 A CN109893176 A CN 109893176A
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Abstract
The present invention relates to the field of medical instrument technology, more particularly to and disclose a kind of breast biopsy residual cavity precise positioning device, including locator main part, the expansion of biopsy needle track and guiding device, locator main part includes hollow positioning pipe, waterflood path, positioning sacculus, water filling port water filling makes to position balloon inflation forming by waterflood path, the expansion of biopsy needle track is taper with guiding device head, is inserted into positioning pipe, guiding device head is pierced by outside positioning pipe.The invention also discloses a kind of breast biopsy residual cavity precise positioning method and without tumor residual cavity cutting method.Of the invention a kind of breast biopsy residual cavity precise positioning device and localization method have clever structure, it is at low cost, it is easy to operate, accurate positioning, the advantages of significant effect, tumour based on the locator and localization method without tumor cutting method can precise positioning and the postoperative tumour residual cavity of excision breast cancer VAB, tumors remaining tissue, VAB biopsy needle track, can reach and be operated well without tumor, improve Breast-consering surgery success rate.
Description
Technical field
The present invention relates to the field of medical instrument technology more particularly to a kind of breast biopsy residual cavity precise positioning devices, positioning side
Method and without tumor cutting method.
Background technique
The disease incidence of China's breast cancer is in rising trend in recent years, and age of onset has rejuvenation trend.Data shows cream
The disease incidence of gland cancer has become the first place of female malignant, seriously threatens the physical and mental health of women.Therefore early detection, early stage
Diagnosis, early treatment are the key that improve patient with breast cancer's survival rate.There is research prompt early detection breast cancer that can reduce 40%
The even higher death rate.
With the progress of minimally invasive surgery theory and technology, the operative treatment of mammary gland disease is also gradually to minimal damage and minimally invasive
Direction is developed.Wherein, pass through invasive methods Diagnosis of Breast suspicious lesions and treat and have determined that the benign lesion of property has obtained
Certainly.On the basis of hollow needle biopsy, vacuum aided breast biopsy (Vacuum-assisted biopsy, VAB) system is wide
It is general to be used for clinic, new dawn is brought for the diagnosing and treating of tumor of breast.Since the minimally invasive biopsy system of Mai Motong in 1994 is asked
Since generation, VAB is grown rapidly in mammary gland disease field.Method of the VAB as a kind of micro-wound surgical operation, it has also become breast is benign
The integrated common treatment mode of lump diagnosis and treatment.
It is confirmed through large sample clinical test (more than 10,000 patients), early-stage breast cancer patient receives Breastconserving therapy and full milk
The incidence of survival rate and DISTANT METASTASES IN is similar after excision treatment.But it can greatly improve the postoperative life matter of patient after Breast reservation
Amount.
With the extensive development of VAB technology, the case load that VAB postoperative pathological makes a definite diagnosis breast cancer is continuously increased.Such patient
Clinical Processing it is extremely intractable, the selection clinic of modus operandi there is no final conclusion.Its main cause is clinician to the postoperative needle of VAB
Road Implantation matastasis and tumour residual cavity can not complete resection worry.Therefore clinician is often more partial to that breast cancer is selected to change
Good radical correction.This treatment mode makes VAB make a definite diagnosis the patient of breast cancer, in spite of the newborn wish of guarantor and meets Breast-consering surgery indication
The patient of (patient of most of selection VAB, which meets, protects newborn indication) has missed optimal therapeutic modality.
For the predicament of the postoperative Breast-consering surgery safety of VAB, if the energy postoperative tumour residual cavity of precise positioning breast cancer VAB,
And accurate expanded resection, while can precisely cut off VAB biopsy needle track, then it can reach and be operated well without tumor, not only avoid VAB art
Cutting through tumour residual cavity in radical operation of mastocarcinoma with preservation of breast afterwards leads to the risk of tumour spread, is also avoided that tumour needle track implantation remains,
To improve Breast-consering surgery success rate, improves breast cancer and protect newborn rate, improve patient's postoperative life quality.
Summary of the invention
In view of the problems of the existing technology, the present invention provides a kind of energy postoperative tumour residual cavity of precise positioning breast cancer VAB,
Facilitate accurate expanded resection, and can precisely cut off VAB biopsy needle track reach the operation of no tumor breast biopsy residual cavity precise positioning device,
Localization method and without tumor cutting method.
For achieving the above object, the present invention adopts the following technical scheme that:
Breast biopsy residual cavity precise positioning device, including the expansion of locator main part, biopsy needle track and guiding device, the locator master
Part includes hollow positioning pipe, waterflood path, positioning sacculus, and waterflood path is wrapped in outside positioning pipe, the water filling port position of waterflood path
It in positioning pipe tail portion, positions sacculus and is located at positioning pipe head, be connected to waterflood path sealing, water filling port water filling passes through waterflood path
Make to position balloon inflation forming, biopsy needle track expansion with guiding device be it is rod-shaped, guiding device head is taper, the expansion of biopsy needle track
It opens and is inserted into positioning pipe with guiding device, guiding device head is pierced by outside positioning pipe.Such structure can smoothly enter into the postoperative needle of VBA
Road, and accurately reach tumor of breast residual cavity position and expand positioning, facilitate subsequent tumor of breast residual cavity and needle track to cut off.
Preferably, the biopsy needle track expansion expands to form guiding device tail portion with guiding device tail portion, guiding device tail portion is straight
Diameter is greater than positioning bore, and guiding device head tail end is just pierced by positioning pipe head end.The expansion of biopsy needle track is tied with guiding device tail portion
Structure can limit when inserting it into positioning pipe, and total is made to be in the state of relative securement, and guiding device head tail end is just worn
Out on the one hand positioning pipe head end can smoothly enter into locator and expand needle track, on the other hand positioning pipe head end also be enable accurately to reach
Tumor of breast residual cavity position.
Preferably, the positioning sacculus head end is located at after positioning pipe head end, two head ends distance is less than 10mm.Position ball
After capsule expansion molding, if positioning pipe head end, which is grown, is unfavorable for positioning too much positioning of the sacculus to tumor of breast residual cavity, if
It is short very much, then the inconvenient excision to tumor of breast residual cavity, the technical program makes to position almost and fixed after balloon inflation molding
Position tube head end flushes, and overcomes drawbacks described above.
Preferably, the water filling port is provided with check valve, aqueous is from water filling port to positioning sacculus one-way flow.It avoids giving birth to
Salt water reverse flow is managed, influences to position sacculus molding positioning.
Preferably, the positioning balloon material is heat proof material, high temperature resistant is greater than 300 degrees Celsius.Heat proof material is very
Generated high temperature when peeling knife rotary-cut tissue is adapted to, will not rupture or deform because of high temperature influences subsequent no tumor excision.
Preferably, the positioning sacculus is colour, diameter≤6cm when expansion-molded.Colour can be in excision Shi Gengfang
Just it observes tumor of breast residual cavity tissue, easily and accurately cuts off.
Preferably, the diameter of the expansion of biopsy needle track and guiding device shape body is 5mm.With the postoperative needle track of VBA
It is adapted.
Preferably, the locator main part length is 15-20cm.It is adapted with udder size.
Breast biopsy residual cavity precise positioning method is included the following steps: using breast biopsy residual cavity precise positioning device
1) by biopsy needle track expansion with guiding device be placed in the postoperative biopsy needle track of VAB, to the postoperative biopsy needle track of VAB carry out expansion until
Reach the postoperative residual cavity of VAB；
2) expansion of biopsy needle track exits the postoperative biopsy needle track of VAB with guiding device, and is inserted into locator main part, with locator main part one
It rises and is placed in the postoperative biopsy needle track of the VAB again, until precisely reaching the postoperative residual cavity of VAB, then biopsy needle track is expanded and is moved back with guiding device
Locator main part out；
3) water filling port saline injection about 5-10ml makes to position balloon inflation forming, precise positioning breast biopsy residual cavity.
Step 1) biopsy needle track, which is expanded, expands the postoperative biopsy needle track of VBA with guiding device, and step 2 is expanded in biopsy needle track
Under guiding device guidance, locator main part head end reaches tumour residual cavity position, and step 3) dilating sacculus withstands residual cavity position, quasi-
Determine position.The expansion of biopsy needle track is first individually used for expansion needle track with guiding device, then is socketed with locator main part, for guiding positioning
In place, balloon expandable, is accurately positioned device main part later.Such smart structural design, use is simple and easy to operate, significant effect,
Significantly solve breast biopsy residual cavity precise positioning problem.
Breast biopsy residual cavity precisely without tumor cutting method, uses breast biopsy residual cavity precise positioning device, it is characterised in that: packet
Include following steps:
1) breast-conserving surgery for breast cancer routine Preoperative Method, anesthesia, disinfection, drape, mosquito clamp mild dilation VAB postoperative skin
Notch；
2) biopsy needle track is expanded and guiding device is from the VAB postoperative skin notch merging postoperative biopsy needle track of VAB, to the postoperative work of VAB
Inspection needle track carries out expansion until reaching the postoperative residual cavity of VAB；
3) expansion of biopsy needle track exits the postoperative biopsy needle track of VAB with guiding device, and is inserted into locator main part, with locator main part one
It rises and is placed in the postoperative biopsy needle track of the VAB again, until precisely reaching the postoperative residual cavity of VAB, then biopsy needle track is expanded and is moved back with guiding device
Locator main part out；
4) water filling port saline injection makes to position balloon inflation forming, precise positioning breast biopsy residual cavity, the physiology injected
It is 5-10ml depending on salt water foundation tumour residual cavity size；
5) according to the requirement of regular breast cancer Breast-consering surgery notch, positioning balloon surface skin is cut, flap is separated, detects positioning ball
Capsule and tumors remaining position, by breast cancer Bao Ru local excision principle en bloc resection tumour residual cavity and Neoplasm residual tissue, then
Make the postoperative needle track excision of VAB under the guidance of locator main part；
6) incisxal edge marks, and send in art and freezes；
7) stop blooding, rinse wound, notch is closed in conventional suture.
It, can precise positioning breast cancer based on the accurate no tumor cutting method on the basis of breast biopsy residual cavity precise positioning method
The postoperative tumour residual cavity of VAB, and accurate expanded resection can reach and operate well without tumor, avoid the postoperative breast cancer of VAB from protecting Rugen and control
Tumour residual cavity is cut through in art leads to the risk of tumour spread.VAB biopsy needle track can be precisely cut off simultaneously, avoids tumour needle track implantation
Residual improves Breast-consering surgery success rate, and then improves breast cancer and protect newborn rate, improves patient's postoperative life quality.
Of the invention a kind of breast biopsy residual cavity precise positioning device and localization method pass through two pieces and are socketed, balloon expandable positioning
Mode precise positioning is carried out to tumor of breast residual cavity, there is clever structure, at low cost, easy to operate, accurate positioning, effect is aobvious
The advantages of work, the tumour based on the locator and localization method can the postoperative tumours of precise positioning breast cancer VAB without tumor cutting method
Residual cavity, and accurate expanded resection can reach and operate well without tumor, avoid cutting through in the postoperative radical operation of mastocarcinoma with preservation of breast of VAB swollen
Tumor residual cavity leads to the risk of tumour spread.VAB biopsy needle track can be precisely cut off simultaneously, tumour needle track implantation is avoided to remain.It improves
Breast-consering surgery success rate, and then improve breast cancer and protect newborn rate, improve patient's postoperative life quality.
Detailed description of the invention
Fig. 1 is the connection schematic diagram of breast biopsy of embodiment of the present invention residual cavity precise positioning device.
Fig. 2 is the structural schematic diagram of locator main part in Fig. 1.
Fig. 3 is the structural schematic diagram of biopsy needle track expansion and guiding device in Fig. 1.
Schematic diagram is completed in the positioning of Fig. 4 breast biopsy residual cavity precise positioning method of the embodiment of the present invention.
Specific embodiment
Below with reference to Fig. 1-4, the present invention is described further with specific embodiment.
Breast biopsy residual cavity precise positioning device, as illustrated in the accompanying drawings from 1 to 3, including locator main part 1, biopsy needle track are expanded and are drawn
Device 2 is led, locator main part 1 includes hollow positioning pipe 3, waterflood path 4, positioning sacculus 5, and waterflood path 4 is wrapped in positioning pipe 3
Outside, the water filling port 6 of waterflood path 4 is located at 3 tail portion of positioning pipe, and positioning sacculus 5 is located at 3 head of positioning pipe, seals with waterflood path 4
Connection, the water filling of water filling port 6 keep positioning sacculus 5 expansion-molded by waterflood path 4, and the biopsy needle track expansion is with guiding device 2
Rod-shaped, guiding device head 7 is taper, and the expansion of biopsy needle track is inserted into positioning pipe 3 with guiding device 2, and guiding device head 7 is pierced by positioning pipe
Outside 3.
The expansion of biopsy needle track expands to form guiding device tail portion 8 with 2 tail portion of guiding device, and 8 diameter of guiding device tail portion is greater than positioning
3 internal diameter of pipe, 7 tail end of guiding device head are just pierced by 3 head end of positioning pipe.
Positioning 5 head end of sacculus is located at after 3 head end of positioning pipe, two head end distance 5mm.
Water filling port 6 is provided with check valve 9, and aqueous is from water filling port 6 to positioning 5 one-way flow of sacculus.
Positioning 5 material of sacculus be elastic heat material, 350 degrees Celsius of high temperature resistant.Positioning sacculus 5 is colour, expansion-molded
When diameter 5cm.
The diameter of the expansion of biopsy needle track and 2 shape body of guiding device is 5mm.
1 length of locator main part is 15cm.
Breast biopsy residual cavity precise positioning method uses breast biopsy residual cavity precise positioning device, it is characterised in that: including such as
Lower step:
1) expansion of biopsy needle track is placed in the postoperative biopsy needle track 10 of VAB with guiding device 2, the postoperative biopsy needle track of VAB is expanded
Until reaching the postoperative residual cavity 11 of VAB；
2) expansion of biopsy needle track exits the postoperative biopsy needle track 10 of VAB with guiding device 2, and is inserted into locator main part 1, with locator master
Part 1 is placed in the postoperative biopsy needle track 10 of the VAB again together, until precisely reach the postoperative residual cavity 11 of VAB, then by biopsy needle track expansion with
Guiding device 2 exits locator main part 1；
3) 6 saline injection of water filling port about 8ml keeps positioning sacculus 5 expansion-molded, and as shown in Fig. 4, precise positioning mammary gland is living
Examine residual cavity 11.
Breast biopsy residual cavity precisely without tumor cutting method, uses breast biopsy residual cavity precise positioning device, it is characterised in that: packet
Include following steps:
1) breast-conserving surgery for breast cancer routine Preoperative Method, anesthesia, disinfection, drape, mosquito clamp mild dilation VAB postoperative skin
Notch；
2) expansion of biopsy needle track is placed in the postoperative biopsy needle track 10 of VAB from VAB postoperative skin notch with guiding device 2, it is postoperative to VAB
Biopsy needle track carries out expansion until reaching the postoperative residual cavity 11 of VAB；
3) expansion of biopsy needle track exits the postoperative biopsy needle track 10 of VAB with guiding device 2, and is inserted into locator main part 1, with locator master
Part 1 is placed in the postoperative biopsy needle track 10 of the VAB again together, until precisely reach the postoperative residual cavity 11 of VAB, then by biopsy needle track expansion with
Guiding device 2 exits locator main part 1；
4) 6 saline injection of water filling port keeps positioning sacculus 5 expansion-molded, and precise positioning breast biopsy residual cavity 11 is injected
Saline volume is according to depending on tumour residual cavity size, being 8ml, as shown in Fig. 4；
5) according to the requirement of regular breast cancer Breast-consering surgery notch, positioning sacculus (5) surface skin is cut, flap is separated, it is fixed to detect
Position sacculus 5 and tumors remaining position, by breast cancer Bao Ru local excision principle en bloc resection tumour residual cavity and Neoplasm residual tissue,
Then make the postoperative needle track 10 of VAB under the guidance of locator main part 1 to cut off；
6) incisxal edge marks, and send in art and freezes；
7) stop blooding, rinse wound, notch is closed in conventional suture.
Breast cancer protects cream excision after carrying out VAB biopsy by the method, can quickly and easily navigate to the postoperative residual cavity of VAB
11, then the excision of the postoperative needle track 10 of tumour residual cavity, Neoplasm residual tissue, VAB is carried out, no tumor excision can be reached, clinically significantly
It improves the postoperative breast cancer of VAB and protects newborn rate, improve patient's postoperative life quality.
It is in summary only presently preferred embodiments of the present invention, practical range not for the purpose of limiting the invention, Fan Yibenshen
Please equivalent changes and modifications made by the content of the scope of the patents, all should be technology scope of the invention.
Claims (10)
1. breast biopsy residual cavity precise positioning device, it is characterised in that: including locator main part (1), the expansion of biopsy needle track and guidance
Device (2), the locator main part (1) include hollow positioning pipe (3), waterflood path (4), positioning sacculus (5), waterflood path
(4) it is wrapped in positioning pipe (3) outside, the water filling port (6) of waterflood path (4) is located at positioning pipe (3) tail portion, and positioning sacculus (5) is located at
Positioning pipe (3) head is connected to waterflood path (4) sealing, and water filling port (6) water filling makes to position sacculus (5) by waterflood path (4)
It is expansion-molded, biopsy needle track expansion with guiding device (2) be it is rod-shaped, guiding device head (7) are taper, the expansion of biopsy needle track and
Guiding device (2) is inserted into positioning pipe (3), and guiding device head (7) are pierced by positioning pipe (3) outside.
2. breast biopsy residual cavity precise positioning device according to claim 1, it is characterised in that: biopsy needle track expansion with
Guiding device (2) tail portion expands to be formed guiding device tail portion (8), and guiding device tail portion (8) diameter is greater than positioning pipe (3) internal diameter, guiding device
Head (7) tail end is just pierced by positioning pipe (3) head end.
3. breast biopsy residual cavity precise positioning device according to claim 1, it is characterised in that: positioning sacculus (5) head
End is located at after positioning pipe (3) head end, and two head ends distance is less than 10mm.
4. breast biopsy residual cavity precise positioning device according to claim 1, it is characterised in that: water filling port (6) setting
Have check valve (9), aqueous is by water filling port (6) Xiang Dingwei sacculus (5) one-way flow.
5. breast biopsy residual cavity precise positioning device according to claim 1, it is characterised in that: positioning sacculus (5) material
Material is heat proof material, and high temperature resistant is greater than 300 degrees Celsius.
6. breast biopsy residual cavity precise positioning device according to claim 1, it is characterised in that: the positioning sacculus (5) is
Colour, diameter≤6cm when expansion-molded.
7. breast biopsy residual cavity precise positioning device according to claim 1, it is characterised in that: the biopsy needle track expansion
Diameter with guiding device (2) shape body is 5mm.
8. breast biopsy residual cavity precise positioning device according to claim 1, it is characterised in that: the locator main part
(1) length is 15-20cm.
9. breast biopsy residual cavity precise positioning method, accurate using the described in any item breast biopsy residual cavities of such as claim 1-8
Locator, characterized by the following steps:
1) expansion of biopsy needle track is placed in the postoperative biopsy needle track (10) of VAB with guiding device (2), to the postoperative biopsy needle track of VAB (10)
Expansion is carried out until reaching the postoperative residual cavity of VAB (11)；
2) expansion of biopsy needle track exits the postoperative biopsy needle track (10) of VAB with guiding device (2), and is inserted into locator main part (1), and fixed
Position device main part (1) is placed in the postoperative biopsy needle track (10) of the VAB again together, until precisely reaching the postoperative residual cavity of VAB (11), then will live
Inspection needle track expansion exits locator main part (1) with guiding device (2)；
3) water filling port (6) saline injection about 5-10ml keeps positioning sacculus (5) expansion-molded, and precise positioning breast biopsy is residual
Chamber.
10. breast biopsy residual cavity precisely without tumor cutting method, uses the described in any item breast biopsy residual cavities of such as claim 1-8
Precise positioning device, characterized by the following steps:
1) breast-conserving surgery for breast cancer routine Preoperative Method, anesthesia, disinfection, drape, mosquito clamp mild dilation VAB postoperative skin
Notch；
2) expansion of biopsy needle track is placed in the postoperative biopsy needle track (10) of VAB from VAB postoperative skin notch with guiding device (2), to VAB
Postoperative biopsy needle track carries out expansion until reaching the postoperative residual cavity of VAB (11)；
3) expansion of biopsy needle track exits the postoperative biopsy needle track (10) of VAB with guiding device (2), and is inserted into locator main part (1), and fixed
Position device main part (1) is placed in the postoperative biopsy needle track (10) of the VAB again together, until precisely reaching the postoperative residual cavity of VAB (11), then will live
Inspection needle track expansion exits locator main part (1) with guiding device (2)；
4) water filling port (6) saline injection keeps positioning sacculus (5) expansion-molded, and precise positioning breast biopsy residual cavity is injected
Saline volume according to depending on tumour residual cavity size, being 5-10ml；
5) according to the requirement of regular breast cancer Breast-consering surgery notch, positioning sacculus (5) surface skin is cut, flap is separated, it is fixed to detect
Position sacculus (5) and tumors remaining position, by breast cancer Bao Ru local excision principle en bloc resection tumour residual cavity and Neoplasm residual group
It knits, then makees the postoperative needle track of VAB (10) excision under the guidance of locator main part (1)；
6) incisxal edge marks, and send in art and freezes；
7) stop blooding, rinse wound, notch is closed in conventional suture.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910237946.2A CN109893176A (en) | 2019-03-27 | 2019-03-27 | Breast biopsy residual cavity precise positioning device, localization method and without tumor cutting method |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910237946.2A CN109893176A (en) | 2019-03-27 | 2019-03-27 | Breast biopsy residual cavity precise positioning device, localization method and without tumor cutting method |
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ID=66953052
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| CN201910237946.2A Pending CN109893176A (en) | 2019-03-27 | 2019-03-27 | Breast biopsy residual cavity precise positioning device, localization method and without tumor cutting method |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN114343790A (en) * | 2021-12-27 | 2022-04-15 | 齐齐哈尔医学院 | Minimally invasive surgery cutter for breast tumor with bionic maggot mouth |
Citations (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20050015049A1 (en) * | 2003-07-16 | 2005-01-20 | Rioux Robert F. | Temporary tissue spacer and pretreatment balloon |
| CN209984241U (en) * | 2019-03-27 | 2020-01-24 | 浙江大学医学院附属邵逸夫医院 | Accurate positioner for breast biopsy residual cavity |
-
2019
- 2019-03-27 CN CN201910237946.2A patent/CN109893176A/en active Pending
Patent Citations (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20050015049A1 (en) * | 2003-07-16 | 2005-01-20 | Rioux Robert F. | Temporary tissue spacer and pretreatment balloon |
| CN209984241U (en) * | 2019-03-27 | 2020-01-24 | 浙江大学医学院附属邵逸夫医院 | Accurate positioner for breast biopsy residual cavity |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN114343790A (en) * | 2021-12-27 | 2022-04-15 | 齐齐哈尔医学院 | Minimally invasive surgery cutter for breast tumor with bionic maggot mouth |
| CN114343790B (en) * | 2021-12-27 | 2023-06-09 | 齐齐哈尔医学院 | Mammary tumor minimally invasive surgery cutter with bionic maggot mouth |
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