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CN105303942B - A kind of bronchus navigation model - Google Patents

A kind of bronchus navigation model Download PDF

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CN105303942B
CN105303942B CN201510690738.XA CN201510690738A CN105303942B CN 105303942 B CN105303942 B CN 105303942B CN 201510690738 A CN201510690738 A CN 201510690738A CN 105303942 B CN105303942 B CN 105303942B
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CN105303942A (en
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宫亮
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First Affiliated Hospital of TMMU
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Abstract

本发明公开了一种支气管导航模型,包括:拍摄1mm薄层胸部CT及三维重建;将柱体插于底座的金属条上;连接包芯导丝在柱体上,再连接分支器在包芯导丝上;从分支器分出目标分支和非目标分支;分别在目标分支和非目标分支上插入连接模拟目标支气管开口截面圈和非目标支气管开口截面圈;根据患者CT从2级支气管开始调整导航模型,模拟到达目标病灶需要经过的支气管路径及各级支气管开口位置,必要时旋转方向;按照导航模型的指示进入纤维支气管镜进行操作。与盲目取材相比,本发明可明显提高检查的准确性和操作的效率,减轻患者因操作时间长造成的不适或麻醉副作用,不需要电子导航或虚拟导航等昂贵的器材和设备。

The invention discloses a bronchial navigation model, which comprises: shooting 1mm thin-layer chest CT and three-dimensional reconstruction; inserting a cylinder on a metal strip of a base; On the guide wire; divide the target branch and non-target branch from the branch device; insert and connect the simulated target bronchial opening section circle and non-target bronchial opening section circle on the target branch and non-target branch respectively; adjust from the second-level bronchus according to the patient's CT The navigation model simulates the bronchial path and the positions of the bronchial openings at all levels to reach the target lesion, and rotates the direction if necessary; follow the instructions of the navigation model to enter the fiberoptic bronchoscope for operation. Compared with blind material collection, the present invention can significantly improve the accuracy of inspection and the efficiency of operation, reduce the discomfort or side effects of anesthesia caused by long operation time for patients, and does not require expensive equipment and equipment such as electronic navigation or virtual navigation.

Description

一种支气管导航模型A Bronchial Navigation Model

技术领域technical field

本发明属于医疗器械领域,尤其涉及一种支气管导航模型。The invention belongs to the field of medical instruments, in particular to a bronchial navigation model.

背景技术Background technique

经支气管镜进行肺内病灶的活检、刷检和灌洗取标本,操作的盲目性比较大,检查的准确性和操作效率较低,操作比较麻烦,需要昂贵的电子导航或虚拟导航设备。The biopsy, brushing, and lavage of lung lesions through bronchoscopy are relatively blind, the accuracy and efficiency of the inspection are low, the operation is cumbersome, and expensive electronic navigation or virtual navigation equipment is required.

发明内容Contents of the invention

本发明的目的在于提供一种支气管导航模型及其使用方法,旨在解决现有的经支气管镜进行肺内病灶的活检、刷检和灌洗取标本,操作的盲目性比较大,检查的准确性和操作效率较低,操作比较麻烦,检查费用昂贵的问题。The purpose of the present invention is to provide a bronchial navigation model and its use method, aiming to solve the problem of the existing biopsy, brushing and lavage of pulmonary lesions through bronchoscopy, the blindness of the operation is relatively large, and the inspection is accurate Low performance and low operating efficiency, cumbersome operation, and high inspection costs.

本发明是这样实现的,一种支气管导航模型包括底座、柱体、金属条、包芯导丝、分支器、目标分支、非目标分支、目标支气管截面圈、非目标支气管截面圈;The present invention is achieved in this way, a bronchial navigation model includes a base, a cylinder, a metal strip, a cored guide wire, a branch, a target branch, a non-target branch, a target bronchial cross-sectional circle, and a non-target bronchial cross-sectional circle;

所述的底座包括上下两层透明有机玻璃底座,所述的金属条安装在所述的底座上,所述的柱体插接在所述的金属条上;The base includes upper and lower layers of transparent plexiglass base, the metal strip is installed on the base, and the column is plugged on the metal strip;

所述的包芯导丝与所述的柱体连接,所述的分支器与所述的包芯导丝连接;The core-spun guide wire is connected to the cylinder, and the branch is connected to the core-spun guide wire;

所述的分支器分支出目标分支和非目标分支;The brancher branches out target branches and non-target branches;

所述的目标支气管截面圈插入所述的目标分支;The target bronchial section circle is inserted into the target branch;

所述的非目标支气管截面圈插入所述的非目标分支。The non-target bronchial section circle is inserted into the non-target branch.

进一步,所述的柱体为烤漆金属柱或木质柱体。Further, the pillars are painted metal pillars or wooden pillars.

进一步,所述的目标分支与所述的非目标分支颜色不同,所述的目标支气管截面圈与所述的目标分支颜色相同,所述的非目标支气管截面圈与所述的非目标分支颜色相同。Further, the color of the target branch is different from that of the non-target branch, the color of the target bronchial section circle is the same as that of the target branch, and the color of the non-target bronchial section circle is the same as that of the non-target branch .

进一步,所述的分支器为塑胶分支器。Further, the splitter is a plastic splitter.

进一步,所述的包芯导丝包括包胶和铝芯。Further, the core-spun guide wire includes rubber and an aluminum core.

进一步,所述的目标支气管截面圈和非目标支气管截面圈均为塑胶圈。Further, the target bronchial section ring and the non-target bronchial section ring are both plastic rings.

一种支气管导航模型的使用方法为:A method of using the bronchial navigation model is:

步骤一、拍摄1mm薄层胸部CT及三维重建;Step 1: Take 1mm thin-slice chest CT and 3D reconstruction;

步骤二、将柱体插于底座的金属条上;Step 2. Insert the cylinder on the metal strip of the base;

步骤三、连接包芯导丝在柱体上,再连接分支器在包芯导丝上;Step 3: Connect the core-spun guide wire to the cylinder, and then connect the branch to the core-spun guide wire;

步骤四、从分支器分出目标分支和非目标分支;Step 4, separating the target branch and the non-target branch from the brancher;

步骤五、分别在目标分支和非目标分支上插入连接模拟目标支气管开口截面圈和非目标支气管开口截面圈;Step 5, respectively inserting and connecting the simulated target bronchial opening section circle and the non-target bronchial opening section circle on the target branch and the non-target branch;

步骤六、根据患者CT从2级支气管开始调整导航模型,模拟到达目标病灶需要经过的支气管路径及各级支气管开口位置,必要时旋转方向;Step 6. Adjust the navigation model from the second-level bronchus according to the patient's CT, simulate the bronchial path and the position of the bronchial openings at all levels to reach the target lesion, and rotate the direction if necessary;

步骤七、按照导航模型的指示进入纤维支气管镜进行操作。Step 7. Follow the instructions of the navigation model to enter the fiberoptic bronchoscope for operation.

本发明主要用于经支气管镜进行肺内病灶的活检、刷检和灌洗取标本的路径导航,通过分析患者胸部CT和结合此模型,非常有利于方便的通过模拟的各级支气管路径找到目标病灶,本发明可以分至8-9级支气管,与盲目取材相比,可明显提高检查的准确性和操作的效率,减轻患者因操作时间长造成的不适或麻醉副作用,且不需要电子导航或虚拟导航等昂贵的器材和设备。The present invention is mainly used for path navigation for biopsy, brushing and lavage of pulmonary lesions through bronchoscopy. By analyzing the patient's chest CT and combining this model, it is very convenient to find the target through the simulated bronchial path at all levels. Lesions, the present invention can be divided into 8-9 grades of bronchi, compared with blind sampling, it can significantly improve the accuracy of inspection and the efficiency of operation, reduce the patient's discomfort or side effects of anesthesia caused by long operation time, and does not require electronic navigation or Expensive equipment and equipment such as virtual navigation.

附图说明Description of drawings

图1为本发明实施例提供的支气管导航模型的结构示意图;Fig. 1 is a schematic structural diagram of a bronchial navigation model provided by an embodiment of the present invention;

图2为本发明实施例提供的分支器的结构示意图;FIG. 2 is a schematic structural diagram of a splitter provided by an embodiment of the present invention;

图3为本发明实施例提供的支气管导航模型的使用方法流程图;Fig. 3 is a flow chart of the method for using the bronchial navigation model provided by the embodiment of the present invention;

图中:1、底座;2、柱体;3、金属条;4、包芯导丝;5、分支器;5-1、侧孔;5-2、中央孔;6、目标分支;7、非目标分支;8、目标支气管截面圈;9、非目标支气管截面圈;10、病灶。In the figure: 1. base; 2. cylinder; 3. metal strip; 4. cored wire; 5. branch; 5-1. side hole; 5-2. central hole; 6. target branch; 7. Non-target branch; 8. Target bronchi section circle; 9. Non-target bronchi section circle; 10. Lesion.

具体实施方式detailed description

为了使本发明的目的、技术方案及优点更加清楚明白,以下结合实施例,对本发明进行进一步详细说明。应当理解,此处所描述的具体实施例仅仅用以解释本发明,并不用于限定本发明。In order to make the object, technical solution and advantages of the present invention more clear, the present invention will be further described in detail below in conjunction with the examples. It should be understood that the specific embodiments described here are only used to explain the present invention, not to limit the present invention.

下面结合附图及具体实施例对本发明的应用原理作进一步描述。The application principle of the present invention will be further described below in conjunction with the accompanying drawings and specific embodiments.

请参阅图1-图3:Please refer to Figure 1-Figure 3:

一种支气管导航模型包括底座1、柱体2、金属条3、包芯导丝4、分支器5、目标分支6、非目标分支7、目标支气管截面圈8、非目标支气管截面圈9;A bronchial navigation model includes a base 1, a cylinder 2, a metal strip 3, a cored guide wire 4, a brancher 5, a target branch 6, a non-target branch 7, a target bronchial section circle 8, and a non-target bronchial section circle 9;

所述的底座1包括上下两层透明有机玻璃底座,所述的金属条3安装在所述的底座上,所述的柱体2插接在所述的金属条3上;The base 1 includes an upper and lower layer of transparent plexiglass base, the metal strip 3 is installed on the base, and the column 2 is inserted on the metal strip 3;

所述的包芯导丝4与所述的柱体2连接,所述的分支器5与所述的包芯导丝4连接;The cored guide wire 4 is connected to the cylinder 2, and the branch 5 is connected to the cored guide wire 4;

所述的分支器5分支出目标分支和非目标分支,侧孔5-1连接各级模拟支气管分支,中央孔5-2连接各级模拟支气管主干;The branch device 5 branches out into target branches and non-target branches, the side holes 5-1 are connected to simulated bronchial branches at all levels, and the central hole 5-2 is connected to simulated bronchial trunks at all levels;

所述的目标支气管截面圈8插入所述的目标分支6;The target bronchial section ring 8 is inserted into the target branch 6;

所述的非目标支气管截面圈9插入所述的非目标分支7。The non-target bronchial section circle 9 is inserted into the non-target branch 7 .

进一步,所述的柱体2为烤漆金属柱或木质柱体。Further, the column 2 is a painted metal column or a wooden column.

进一步,所述的目标分支6与所述的非目标分支7颜色不同,所述的目标支气管截面圈8与所述的目标分支6颜色相同,所述的非目标支气管截面圈9与所述的非目标分支颜色7相同。Further, the color of the target branch 6 is different from that of the non-target branch 7, the color of the target bronchial section circle 8 is the same as that of the target branch 6, and the non-target bronchial section circle 9 is the same as that of the target branch Non-target branches have the same color 7.

进一步,所述的分支器5为塑胶分支器。Further, the said splitter 5 is a plastic splitter.

进一步,所述的目标支气管截面圈7和非目标支气管截面圈9均为塑胶圈。Further, the target bronchial section ring 7 and the non-target bronchial section ring 9 are both plastic rings.

一种支气管导航模型的使用方法为:A method of using the bronchial navigation model is:

S101、拍摄1mm薄层胸部CT及三维重建;S101, taking 1mm thin-slice chest CT and three-dimensional reconstruction;

S102、将柱体插于底座的金属条上;S102, inserting the cylinder on the metal strip of the base;

S103、连接包芯导丝在柱体上,再连接分支器在包芯导丝上;S103. Connect the core-spun guide wire to the cylinder, and then connect the branch to the core-spun guide wire;

S104、从分支器分出目标分支和非目标分支;S104. Splitting the target branch and the non-target branch from the brancher;

S105、分别在目标分支和非目标分支上插入连接模拟目标支气管开口截面圈和非目标支气管开口截面圈;S105, respectively inserting and connecting the simulated target bronchial opening section circle and the non-target bronchial opening section circle on the target branch and the non-target branch;

S106、根据患者CT从2级支气管开始调整导航模型,模拟到达目标病灶需要经过的支气管路径及各级支气管开口位置,必要时旋转方向;S106. Adjust the navigation model from the second-level bronchi according to the patient's CT, simulate the bronchial path and the opening positions of the bronchi at all levels to reach the target lesion, and rotate the direction if necessary;

S107、按照导航模型的指示进入纤维支气管镜进行操作。S107. Enter the fiberoptic bronchoscope according to the instructions of the navigation model for operation.

包芯导丝4包括包胶和铝芯,可任意调节角度,代表主气管;The core-spun guide wire 4 includes rubber and aluminum core, and the angle can be adjusted arbitrarily, representing the main trachea;

目标分支为红色6,代表目标路径的支气管;The target branch is red 6, which represents the bronchi of the target path;

非目标分支为灰色7,代表非目标路径的其他支气管分支;The non-target branch is gray 7, representing other bronchial branches of the non-target path;

分别在目标分支6和非目标分支7上插入连接目标支气管开口截面圈8和非目标支气管开口截面圈9,其中目标支气管开口截面圈8为红色,代表目标路径需要经过的支气管开口,非目标支气管开口截面圈9为灰色,代表非目标路径, 即不需要经过的其他支气管分支开口,以下各级支气管路径操作依此类推。Insert and connect the target bronchial opening section circle 8 and the non-target bronchial opening section circle 9 on the target branch 6 and the non-target branch 7 respectively, wherein the target bronchial opening section circle 8 is red, representing the bronchial opening that the target path needs to pass through, and the non-target bronchial opening section circle 8 is red. The opening section circle 9 is gray, which represents the non-target path, that is, other bronchial branch openings that do not need to pass through, and the bronchial path operations at the following levels can be deduced by analogy.

本发明主要用于经支气管镜进行肺内病灶的活检、刷检和灌洗取标本的路径导航,通过分析患者胸部CT和结合此模型,非常有利于方便的通过模拟的各级支气管路径找到目标病灶,本发明可以分至8-9级支气管,与盲目取材相比,可明显提高检查的准确性和操作的效率,减轻患者因操作时间长造成的不适或麻醉副作用,且不需要电子导航或虚拟导航等昂贵的器材和设备。The present invention is mainly used for path navigation for biopsy, brushing and lavage of pulmonary lesions through bronchoscopy. By analyzing the patient's chest CT and combining this model, it is very convenient to find the target through the simulated bronchial path at all levels. Lesions, the present invention can be divided into 8-9 grades of bronchi, compared with blind sampling, it can significantly improve the accuracy of inspection and the efficiency of operation, reduce the patient's discomfort or side effects of anesthesia caused by long operation time, and does not require electronic navigation or Expensive equipment and equipment such as virtual navigation.

以上所述仅为本发明的较佳实施例而已,并不用以限制本发明,凡在本发明的精神和原则之内所作的任何修改、等同替换和改进等,均应包含在本发明的保护范围之内。The above descriptions are only preferred embodiments of the present invention, and are not intended to limit the present invention. Any modifications, equivalent replacements and improvements made within the spirit and principles of the present invention should be included in the protection of the present invention. within range.

Claims (1)

1.一种支气管导航模型,其特征在于,所述支气管导航模型包括底座、柱体、金属条、包芯导丝、分支器、目标分支、非目标分支、目标支气管截面圈、非目标支气管截面圈;1. A bronchial navigation model, characterized in that, the bronchial navigation model comprises a base, a cylinder, a metal strip, a cored guide wire, a branch, a target branch, a non-target branch, a target bronchial section circle, and a non-target bronchial section lock up; 所述的底座包括上下两层透明有机玻璃底座,所述的金属条安装在所述的底座上,所述的柱体插接在所述的金属条上;The base includes upper and lower layers of transparent plexiglass base, the metal strip is installed on the base, and the column is plugged on the metal strip; 所述的包芯导丝与所述的柱体连接,所述的分支器与所述的包芯导丝连接;The core-spun guide wire is connected to the cylinder, and the branch is connected to the core-spun guide wire; 所述的分支器分支出目标分支和非目标分支;The brancher branches out target branches and non-target branches; 所述的目标支气管截面圈插入所述的目标分支;The target bronchial section circle is inserted into the target branch; 所述的非目标支气管截面圈插入所述的非目标分支;The non-target bronchial section circle is inserted into the non-target branch; 所述的柱体为烤漆金属柱或木质柱体;The pillars are painted metal pillars or wooden pillars; 所述的目标分支与所述的非目标分支颜色不同,所述的目标支气管截面圈与所述的目标分支颜色相同,所述的非目标支气管截面圈与所述的非目标分支颜色相同;The color of the target branch is different from that of the non-target branch, the color of the target bronchial section circle is the same as that of the target branch, and the color of the non-target bronchial section circle is the same as that of the non-target branch; 所述的分支器为塑胶分支器;The branch is a plastic branch; 所述的包芯导丝包括包胶和铝芯;The core-spun guide wire includes a rubber core and an aluminum core; 所述的目标支气管截面圈和非目标支气管截面圈均为塑胶圈。Both the target bronchial section ring and the non-target bronchial section ring are plastic rings.
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