CN109036061A - A kind of Digital stomach and intestine machine simulation operations training simulation people and preparation method thereof - Google Patents
A kind of Digital stomach and intestine machine simulation operations training simulation people and preparation method thereof Download PDFInfo
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Abstract
Description
技术领域technical field
本发明涉及一种手术模拟训练用装置,具体涉及一种医用数字胃肠机仿真操作训练模拟人及其制作方法,属于医疗教学设备技术领域。The invention relates to a device for operation simulation training, in particular to a medical digital gastrointestinal machine simulation operation training simulator and a manufacturing method thereof, belonging to the technical field of medical teaching equipment.
背景技术Background technique
目前,X射线胃肠造影是针对胃肠道疾病的主要检查方法,这种方法是通过钡剂在胃肠道内的运行并根据钡剂在不同时间不同部位摄取各种影像,可以全面地观察病变的范围、程度,了解受检器官的位置形态,粘膜情况;特别是能全程动态观察胃肠的运动、接纳、排空等;经十二指肠导管的小肠钡剂造影检查,至今仍是诊断小肠病变的最有效方法。这种方法老弱病人均能适应,病人无痛苦,操作方便,不会发生交叉感染,因此具有其它方法不能取代之处。At present, X-ray gastrointestinal contrast is the main examination method for gastrointestinal diseases. This method can comprehensively observe the lesions through the operation of barium in the gastrointestinal tract and the ingestion of various images at different times and different parts according to the barium. The scope and extent of the examination, the location and shape of the organs under examination, and the condition of the mucous membrane; especially the ability to dynamically observe the movement, reception, and emptying of the gastrointestinal tract throughout the entire process; the small intestine barium radiography examination through the duodenal catheter is still a diagnostic method. The most effective treatment for small bowel lesions. This method can be adapted to the old and weak patients, the patient has no pain, the operation is convenient, and cross-infection will not occur, so it has something that cannot be replaced by other methods.
但在医护操作人员如果对该项技术不能熟练掌握,则不允许在病人身体直接操作。现有技术模型虽可以进行操作训练,但是消化系统各个组织、器官模型具体形态与真实的还有差距,相对空间位置和毗邻结构不够确切,材料的选择还不合理等原因,所以不能很好的达到临床实际要求,训练者不能达到熟练掌握数字胃肠机操作训练的流程、技巧和手法,更不能进一步在人体上检查。However, if medical operators are not proficient in this technology, they are not allowed to directly operate on the patient's body. Although the existing technology model can be used for operation training, there is still a gap between the specific shape of each tissue and organ model of the digestive system and the real one, the relative spatial position and adjacent structure are not accurate enough, and the selection of materials is not reasonable, so it cannot be used well. To meet the actual clinical requirements, trainers cannot master the process, skills and techniques of digital gastrointestinal machine operation training, let alone further examination on the human body.
发明内容Contents of the invention
为了克服现有技术存在的上述不足,本发明提供一种医用数字胃肠机仿真操作训练模拟人及其制作方法,使模拟人的外观与人体轮廓相似、主体材料与人体组织等效、内部组织器官与实体仿真,学生不需要到医院现场,在实验室就能够直接完成数字胃肠机仿真操作训练教学,不仅直观、真实感强,而且可以同时组织多组实验,提高教学效果。In order to overcome the above-mentioned deficiencies in the prior art, the present invention provides a medical digital gastrointestinal machine simulation operation training simulator and its manufacturing method, so that the appearance of the simulator is similar to the outline of the human body, the main material is equivalent to human tissue, and the internal tissue Organ and physical simulation, students do not need to go to the hospital site, and can directly complete the digital gastrointestinal machine simulation operation training and teaching in the laboratory, which is not only intuitive and realistic, but also can organize multiple groups of experiments at the same time to improve the teaching effect.
本发明一种医用数字胃肠机仿真操作训练模拟人,其特征在于,包括仿真人体和包括消化系统的透明内脏器官,所述仿真人体的尺寸与人体的尺寸为1:1的比例,仿真人体的腹侧表面采用肤色材料制成,背侧底面采用透明材料制成;透明内脏器官包括透明食道、透明胃、透明十二指肠和透明肠道,透明肠道包括大肠、小肠和直肠,各器官按照正常人体器官的大小制作,并按照解剖结构拼接组装。A medical digital gastrointestinal machine simulation operation training simulator of the present invention is characterized in that it includes a simulated human body and a transparent internal organ including a digestive system, the size of the simulated human body is in a ratio of 1:1 to the size of the human body, and the simulated human body The ventral surface is made of skin-colored material, and the dorsal bottom is made of transparent material; transparent internal organs include transparent esophagus, transparent stomach, transparent duodenum and transparent intestinal tract, transparent intestinal tract includes large intestine, small intestine and rectum, each The organs are made according to the size of normal human organs, and assembled according to the anatomical structure.
进一步的,透明食道、透明胃以及透明肠道分别制造正常形态结构和各种病变结构。Further, the transparent esophagus, transparent stomach and transparent intestinal tract respectively produce normal morphological structures and various pathological structures.
一种医用数字胃肠机仿真操作训练模拟人制作方法,其特征在于,包括以下步骤,A method for making a medical digital gastrointestinal machine simulation operation training simulator, characterized in that it includes the following steps,
第一步,制作模拟人腹侧面的仿真皮肤组织,将肤色流体状硅胶材料灌入标准人体大小的腹侧半模具,再将配套的另一半模具按压在灌有硅胶的模具中,给予适当的压力,使肤色流体充满上下模具之间的固定的空隙中,放置于室温中直至硅胶材料处于硬化状态;The first step is to make the simulated skin tissue on the ventral side of the simulated human, pour the skin color fluid silicone material into the ventral half mold of the standard human size, and then press the other half mold into the mold filled with silicone, and give appropriate Pressure, so that the skin color fluid fills the fixed gap between the upper and lower molds, and placed at room temperature until the silicone material is hardened;
第二步、制作透明消化器官,将透明流体硅胶材料分别注入胃模具、十二指肠模具以及大肠模具,上述模具均为具有双层外壁的中空结构,并通过中空结构上端开孔将透明流体材料注入各个模具双层外壁之间,胃模具、十二指肠模具以及大肠模具内壁的内表面具有皱褶结构;质地较柔软的与实际器官口径相近的PVC透明软管制作透明食道、小肠和直肠;The second step is to make transparent digestive organs. The transparent fluid silicone material is injected into the stomach mold, duodenum mold and large intestine mold respectively. The material is injected between the double-layer outer walls of each mold, and the inner surface of the inner wall of the stomach mold, duodenum mold and large intestine mold has a wrinkled structure; the soft PVC transparent hose with a diameter similar to the actual organ is used to make transparent esophagus, small intestine and rectum;
第三步、透明消化器官的连接与固定,按照人体消化系统解剖结构走向将透明食道、透明胃、透明十二指肠、透明肠道依次相连,并安装固定在仿真人体组织内部,各部分通过接口件紧密连接并密封,确保注入仿真造影剂时不会溢出;透明食道与口腔相连;The third step is the connection and fixation of the transparent digestive organs. According to the anatomical structure of the human digestive system, the transparent esophagus, transparent stomach, transparent duodenum, and transparent intestinal tract are connected in sequence, and installed and fixed inside the simulated human tissue. The interface is tightly connected and sealed to ensure that the simulated contrast agent will not overflow; the transparent esophagus is connected to the oral cavity;
第四步,制作模拟人背侧面的仿真皮肤组织,将透明流体状硅胶材料灌入标准人体大小的背侧半模具,再将配套的另一半背侧模具按压在灌有硅胶的模具中,给予适当的压力,使肤色流体充满上下模具之间的固定的空隙中,放置于室温中直至硅胶材料处于硬化状态;The fourth step is to make the simulated skin tissue on the dorsal side of the simulated human, pour the transparent fluid silicone material into the dorsal half mold of the standard human size, and then press the other half of the dorsal mould, which is filled with silica gel, to give Appropriate pressure, so that the skin color fluid fills the fixed gap between the upper and lower molds, and placed at room temperature until the silicone material is hardened;
第五步,将模拟人背侧面透明组织和腹侧面仿真皮肤自然相连,而且连接处紧密光滑无缝隙。The fifth step is to naturally connect the transparent tissue of the dorsal side of the simulated human with the simulated skin of the ventral side, and the connection is tight and smooth without gaps.
通过上述方法所制作的腹部皮肤组织,正面采用肤色硅胶材料,背部和侧面采用透明硅胶材料,内部器官采用透明硅胶材料,因此当由口腔向内部消化器官灌入钡剂时,可以便于学生在背部观察内部器官病变情况以及拍摄图片;消化器官采用透明材质,当其被灌入钡剂后就可以模仿在数字胃肠机X射线下的情况,真实反应器官病变情况。不论是模拟人的皮肤还是内部器官均是按照正常人体标准以及解剖结构走向布置,真实感强,更加有利于教学。The abdominal skin tissue made by the above method is made of skin-colored silicone material on the front, transparent silicone material on the back and sides, and transparent silicone material on the internal organs. Therefore, when the barium is poured into the internal digestive organs from the mouth, it is convenient for students to clean the skin on the back. Observe the internal organ lesions and take pictures; the digestive organs are made of transparent materials, and when they are filled with barium, they can imitate the situation under the X-ray of the digital gastrointestinal machine, and truly reflect the organ lesions. Both the skin and internal organs of the simulated human are arranged according to the normal human body standard and anatomical structure, which has a strong sense of reality and is more conducive to teaching.
具体的,第一步中的流体状肤色硅胶材料为双组份室温硫化加成型有机硅橡胶,包括A组分和B组分,所述A组分为Q625,B组分为含有催化剂的Q625,所述催化剂为铂金触媒催化剂,A组分和B组分混合重量比例为1:1,混合时充分搅拌20~30min使其充分混合,注入模具后室温下固化;Specifically, the fluid-like color silicone material in the first step is a two-component room temperature vulcanization addition type silicone rubber, including A component and B component, the A component is Q625, and the B component is Q625 containing a catalyst. , the catalyst is a platinum catalyst, the mixing weight ratio of A component and B component is 1:1, fully stir for 20-30 minutes to make it fully mixed, and solidify at room temperature after being injected into the mold;
第二步和第四步中透明流体硅胶材料为透明双组分加成型有机硅灌封胶,包括A组分和B组分,A组分为HY 9325,其粘度为400~600Pa·s,B组分为HY 9325,其粘度为200~500Pa·s,两种组混合重量比例为1:1,混合时充分搅拌0.5~1h使其充分混合,注入模具后室温下固化。The transparent fluid silicone material in the second and fourth steps is a transparent two-component addition type silicone potting compound, including A component and B component. A component is HY 9325, and its viscosity is 400-600Pa·s. Component B is HY 9325 with a viscosity of 200-500Pa·s. The mixing weight ratio of the two components is 1:1. When mixing, stir thoroughly for 0.5-1h to make it fully mixed. After pouring into the mold, it is cured at room temperature.
硫化加成型有机硅橡胶的粘度较低,便于灌注,硫化时不放热,无低分子副产物放出,收缩率小,能深度硫化;透明双组分加成型有机硅灌封胶粘度低,便于灌注,硫化时不放热,固化反应中不产生任何副产物,且具有高透光率。Vulcanization addition type silicone rubber has low viscosity, easy to pour, no heat release during vulcanization, no low molecular by-products are released, small shrinkage, and can be vulcanized deeply; transparent two-component addition type silicone potting adhesive has low viscosity, It is easy to pour, does not release heat during vulcanization, does not produce any by-products in the curing reaction, and has high light transmittance.
进一步的,第一步、第二步和第四步中,流体材料灌装之前,通过透水实验检查模具是否具有缝隙,以防止灌装过程中流体材料溢出造成仿真皮肤内具有孔隙、气泡等缺陷。Further, in the first step, the second step and the fourth step, before filling the fluid material, check whether the mold has gaps through a water permeability test, so as to prevent the overflow of the fluid material during the filling process and cause defects such as pores and air bubbles in the simulated skin .
本发明所制作的模拟人采用与人体组织等效功能的高分子材料铸成,将具有仿真皮肤及透明消化系统为主要脏器的模拟人作为数字胃肠机操作训练的“实验对象”,使学生不需要到医院现场,在实验室就能够直接完成数字胃肠机仿真操作训练教学数字胃肠机仿真操作训练;不仅直观、真实感强,而且可以同时组织多组实验,提高教学效果;本模拟人在模拟肠胃造影时无需X线,可由背部透明皮肤直接观察,避免了辐射对人体的影响,更加安全可靠。The simulated human produced by the present invention is made of polymer materials with functions equivalent to human tissues, and the simulated human with simulated skin and transparent digestive system as the main organs is used as the "experiment object" for the operation training of the digital gastrointestinal machine. Students do not need to go to the hospital site, they can directly complete the digital gastrointestinal machine simulation operation training teaching digital gastrointestinal machine simulation operation training in the laboratory; it is not only intuitive and realistic, but also can organize multiple groups of experiments at the same time to improve the teaching effect; Simulators do not need X-rays when simulating gastrointestinal contrast, and can be directly observed through the transparent skin on the back, which avoids the influence of radiation on the human body and is safer and more reliable.
附图说明Description of drawings
图1为本发明中模拟人结构示意图;Fig. 1 is the structure schematic diagram of simulated human in the present invention;
图中:1-1、口腔;1-2、透明食道;1-3、透明胃;1-4、透明十二指肠;1-5、大肠;1-6、小肠;1-7、直肠。In the figure: 1-1, oral cavity; 1-2, transparent esophagus; 1-3, transparent stomach; 1-4, transparent duodenum; 1-5, large intestine; 1-6, small intestine; 1-7, rectum .
具体实施方式Detailed ways
下面结合附图和具体实施例对本发明做详细的阐述。The present invention will be described in detail below in conjunction with the accompanying drawings and specific embodiments.
如图1所示,一种医用数字胃肠机仿真操作训练模拟人,包括仿真人体和包括消化系统的透明内脏器官,所述仿真人体的尺寸与人体的尺寸为1:1的比例,仿真人体的腹侧表面采用肤色材料制成,背侧底面采用透明材料制成;透明内脏器官包括透明食道1-2、透明胃1-3、透明十二指肠1-4和透明肠道,透明肠道包括大1-5肠、小肠1-6和直肠1-7,各器官按照正常人体器官的大小制作,并按照解剖结构拼接组装。As shown in Figure 1, a medical digital gastrointestinal machine simulation operation training simulator includes a simulated human body and transparent internal organs including the digestive system. The ventral surface of the body is made of skin-color material, and the dorsal underside is made of transparent material; transparent internal organs include transparent esophagus 1-2, transparent stomach 1-3, transparent duodenum 1-4 and transparent intestine, transparent intestine The tract includes large intestines 1-5, small intestines 1-6, and rectums 1-7. Each organ is made according to the size of a normal human organ and assembled according to the anatomical structure.
为了更便于学生了解对比器官病变结构,进一步的,透明食道1-2、透明胃1-3以及透明肠道分别制造正常形态结构和各种病变结构。In order to make it easier for students to understand and compare organ pathological structures, further, transparent esophagus 1-2, transparent stomach 1-3, and transparent intestinal tract are respectively manufactured with normal morphology and various pathological structures.
一种医用数字胃肠机仿真操作训练模拟人制作方法,其特征在于,包括以下步骤,A method for making a medical digital gastrointestinal machine simulation operation training simulator, characterized in that it includes the following steps,
第一步,制作模拟人腹侧面的仿真皮肤组织,将肤色流体状硅胶材料灌入标准人体大小的腹侧半模具,再将配套的另一半模具按压在灌有硅胶的模具中,给予适当的压力,使肤色流体充满上下模具之间的固定的空隙中,放置于室温中直至硅胶材料处于硬化状态;The first step is to make the simulated skin tissue of the ventral side of the simulated human, pour the skin color fluid silicone material into the ventral half mold of the standard human size, and then press the other half mold into the mold filled with silicone, and give appropriate Pressure, so that the skin color fluid fills the fixed gap between the upper and lower molds, and placed at room temperature until the silicone material is hardened;
第二步、制作透明消化器官,将透明流体硅胶材料分别注入胃模具、十二指肠模具以及大肠模具,上述模具均为具有双层外壁的中空结构,并通过中空结构上端开孔将透明流体材料注入各个模具双层外壁之间,胃模具、十二指肠模具以及大肠模具内壁的内表面具有皱褶结构;质地较柔软的与实际器官口径相近的PVC透明软管制作透明食道、小肠和直肠;The second step is to make transparent digestive organs. The transparent fluid silicone material is injected into the stomach mold, duodenum mold and large intestine mold respectively. The material is injected between the double-layer outer walls of each mold, and the inner surface of the inner wall of the stomach mold, duodenum mold and large intestine mold has a wrinkled structure; the soft PVC transparent hose with a diameter similar to the actual organ is used to make transparent esophagus, small intestine and rectum;
第三步、透明消化器官的连接与固定,按照人体消化系统解剖结构走向将透明食道1-2、透明胃1-3、透明十二指肠1-4和透明肠道依次相连,并安装固定在仿真人体组织内部,各部分通过接口件紧密连接并密封,确保注入仿真造影剂时不会溢出;透明食道1-2与口腔1-1相连;The third step is the connection and fixation of the transparent digestive organs. According to the anatomical structure of the human digestive system, the transparent esophagus 1-2, transparent stomach 1-3, transparent duodenum 1-4 and transparent intestinal tract are connected in sequence, and installed and fixed Inside the simulated human tissue, each part is tightly connected and sealed through the interface to ensure that the simulated contrast agent will not overflow when injected; the transparent esophagus 1-2 is connected with the oral cavity 1-1;
第四步,制作模拟人背侧面的仿真皮肤组织,将透明流体状硅胶材料灌入标准人体大小的背侧半模具,再将配套的另一半背侧模具按压在灌有硅胶的模具中,给予适当的压力,使肤色流体充满上下模具之间的固定的空隙中,放置于室温中直至硅胶材料处于硬化状态;The fourth step is to make the simulated skin tissue on the dorsal side of the simulated human, pour the transparent fluid silicone material into the dorsal half mold of the standard human size, and then press the other half of the dorsal mould, which is filled with silica gel, to give Appropriate pressure, so that the skin color fluid fills the fixed gap between the upper and lower molds, and placed at room temperature until the silicone material is hardened;
第五步,将模拟人背侧面透明组织和腹侧面仿真皮肤自然相连,而且连接处紧密光滑无缝隙。The fifth step is to naturally connect the transparent tissue of the dorsal side of the simulated human with the simulated skin of the ventral side, and the connection is tight and smooth without gaps.
通过上述方法所制作的腹部皮肤组织,正面采用肤色硅胶材料,背部和侧面采用透明硅胶材料,内部器官采用透明硅胶材料,因此当由口腔向内部消化器官灌入钡剂时,可以便于学生在背部观察内部器官病变情况以及拍摄图片;消化器官采用透明材质,当其被灌入钡剂后就可以模仿在数字胃肠机X射线下的情况,真实反应器官病变情况。不论是模拟人的皮肤还是内部器官均是按照正常人体标准以及解剖结构走向布置,真实感强,更加有利于教学。The abdominal skin tissue made by the above method is made of skin-colored silicone material on the front, transparent silicone material on the back and sides, and transparent silicone material on the internal organs. Therefore, when the barium is poured into the internal digestive organs from the mouth, it is convenient for students to clean the skin on the back. Observe the internal organ lesions and take pictures; the digestive organs are made of transparent materials, and when they are filled with barium, they can imitate the situation under the X-ray of the digital gastrointestinal machine, and truly reflect the organ lesions. Both the skin and internal organs of the simulated human are arranged according to the normal human body standard and anatomical structure, which has a strong sense of reality and is more conducive to teaching.
具体的,第一步中的流体状肤色硅胶材料为双组份室温硫化加成型有机硅橡胶,包括A组分和B组分,所述A组分为Q625,B组分为含有催化剂的Q625,所述催化剂为铂金触媒催化剂,A组分和B组分混合重量比例为1:1,混合时充分搅拌20~30min使其充分混合,注入模具后室温下固化;Specifically, the fluid-like color silicone material in the first step is a two-component room temperature vulcanization addition type silicone rubber, including A component and B component, the A component is Q625, and the B component is Q625 containing a catalyst. , the catalyst is a platinum catalyst, the mixing weight ratio of A component and B component is 1:1, fully stir for 20-30 minutes to make it fully mixed, and solidify at room temperature after being injected into the mold;
第二步和第四步中透明流体硅胶材料为透明双组分加成型有机硅灌封胶,包括A组分和B组分,A组分为HY 9325,其粘度为400~600Pa·s,B组分为HY 9325,其粘度为200~500Pa·s,两种组混合重量比例为1:1,混合时充分搅拌0.5~1h使其充分混合,注入模具后室温下固化。The transparent fluid silicone material in the second and fourth steps is a transparent two-component addition type silicone potting compound, including A component and B component. A component is HY 9325, and its viscosity is 400-600Pa·s. Component B is HY 9325 with a viscosity of 200-500Pa·s. The mixing weight ratio of the two components is 1:1. When mixing, stir thoroughly for 0.5-1h to make it fully mixed. After pouring into the mold, it is cured at room temperature.
硫化加成型有机硅橡胶的粘度较低,便于灌注,硫化时不放热,无低分子副产物放出,收缩率小,能深度硫化;透明双组分加成型有机硅灌封胶粘度低,便于灌注,硫化时不放热,固化反应中不产生任何副产物,且具有高透光率。Vulcanization addition type silicone rubber has low viscosity, easy to pour, no heat release during vulcanization, no low molecular by-products are released, small shrinkage, and can be vulcanized deeply; transparent two-component addition type silicone potting adhesive has low viscosity, It is easy to pour, does not release heat during vulcanization, does not produce any by-products in the curing reaction, and has high light transmittance.
进一步的,第一步与第四步中,流体材料灌装之前,通过透水实验检查模具是否具有缝隙,以防止灌装过程中流体材料溢出造成仿真皮肤内具有孔隙、气泡等缺陷。Further, in the first step and the fourth step, before filling the fluid material, check whether there are gaps in the mold through a water permeability test, so as to prevent defects such as pores and air bubbles in the simulated skin caused by the overflow of the fluid material during the filling process.
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