CN116704861A - Intelligent Liver Model Teaching System - Google Patents
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Abstract
Description
技术领域technical field
本发明属于医用教学演示设备技术领域,具体涉及一种智能肝脏模型示教系统。The invention belongs to the technical field of medical teaching demonstration equipment, and in particular relates to an intelligent liver model teaching system.
背景技术Background technique
肝脏是人体最大的内脏器官和腺体器官,具有消化、合成、分解、转化、解毒、凝血、造血、免疫等多种生理功能。肝脏血供丰富,以肝小叶为基本单位,拥有肝动脉、门静脉、肝胆管、肝静脉及淋巴管等复杂的脉管系统。肝脏结构复杂,功能多样,因此发生在肝脏的疾病种类繁多,主要包括感染性疾病、肿瘤性疾病、血管性疾病、代谢性疾病、中毒性疾病、自身免疫性疾病、遗传性疾病等。其中以肿瘤性疾病最为严重,肝细胞癌是肝脏常见的恶性肿瘤之一,是原发性肝细胞癌的主要病理类型,它恶性程度相对较高,病情发展迅速,曾有“癌症之王”之称。The liver is the largest internal organ and glandular organ in the human body. It has various physiological functions such as digestion, synthesis, decomposition, transformation, detoxification, blood coagulation, hematopoiesis, and immunity. The liver has a rich blood supply, with the hepatic lobule as the basic unit, and has a complex vascular system such as the hepatic artery, portal vein, hepatic bile duct, hepatic vein, and lymphatic vessels. The structure of the liver is complex and its functions are diverse, so there are various diseases that occur in the liver, including infectious diseases, tumor diseases, vascular diseases, metabolic diseases, toxic diseases, autoimmune diseases, genetic diseases, etc. Among them, neoplastic diseases are the most serious. Hepatocellular carcinoma is one of the common malignant tumors of the liver and the main pathological type of primary hepatocellular carcinoma. It has a relatively high degree of malignancy and rapid development of the disease. known as.
肝动脉化疗栓塞术(TACE)是利用肝脏独有的双重供血以及肿瘤主要有肝动脉供血这一特点,将一种导管经过股动脉在X线下引导下直接插到肝固有动脉或其分支,然后经导管注入化疗药物和栓塞剂。目前现有应用中没有有关肝动脉化疗栓塞术的示教模型和模拟设备,不利于医护人员进行操作演练,不利于医护人员学习操作技术,不利于为患者普及宣教。Transarterial chemoembolization (TACE) utilizes the unique dual blood supply of the liver and the characteristic that the tumor is mainly supplied by the hepatic artery. A catheter is directly inserted into the proper hepatic artery or its branches through the femoral artery under X-ray guidance. Chemotherapy drugs and embolic agents are then injected through the catheter. At present, there are no teaching models and simulation equipment related to hepatic arterial chemoembolization in existing applications, which is not conducive to medical staff performing operational drills, not conducive to medical staff learning operating techniques, and not conducive to popularizing education for patients.
发明内容Contents of the invention
本发明的目的在于提供一种智能肝脏模型示教系统,具备提供完整的肝动脉化疗栓塞术操作、肝动脉化疗栓塞术介入通路操作训练以及肝脏疾病的种类、体征及其病因的数字化讲解及科普宣传功能,解决了现有技术没有有关肝动脉化疗栓塞术的示教模型和模拟设备,不利于医护人员进行操作演练,不利于医护人员学习操作技术,不利于为患者普及宣教的问题。The purpose of the present invention is to provide an intelligent liver model teaching system, capable of providing complete hepatic arterial chemoembolization operation, hepatic arterial chemoembolization interventional access operation training, and digital explanation and popularization of liver disease types, signs and causes The publicity function solves the problem that there is no teaching model and simulation equipment related to hepatic arterial chemoembolization in the prior art, which is not conducive to medical staff's operation drills, medical staff's learning of operating techniques, and popularization of education for patients.
为了达到上述目的,本发明采用的技术方案为,本发明提供一种智能肝脏模型示教系统,包括演示柜,所述演示柜底部设置有万向止动轮,演示柜顶部设置有操作平台,操作平台前侧设置有开关按钮,操作平台后侧设置有支撑柱,支撑柱顶部连接有触屏显示器,操作平台顶部设置有患者模型,患者模型内部设置有肝脏模型,患者模型上设置有介入模拟设备;In order to achieve the above purpose, the technical solution adopted by the present invention is that the present invention provides an intelligent liver model teaching system, including a demonstration cabinet, the bottom of the demonstration cabinet is provided with a universal stop wheel, and the top of the demonstration cabinet is provided with an operating platform. There is a switch button on the front of the platform, a support column on the back of the operation platform, a touch screen display is connected to the top of the support column, a patient model is installed on the top of the operation platform, a liver model is installed inside the patient model, and interventional simulation equipment is installed on the patient model. ;
所述介入模拟设备包括注射器和导管,导管连接在注射器头部插入患者模型内。The interventional simulation device includes a syringe and a catheter, and the catheter is connected to the head of the syringe and inserted into the patient model.
具体的,所述万向止动轮数量为4个设置在演示柜底部四角。Specifically, the number of the universal stop wheels is 4, which are arranged at the four corners of the bottom of the demonstration cabinet.
具体的,所述触屏显示器屏幕尺寸≥55寸,分辨率≥3840*2160,触控点数≥6点,对比度≥5000:1,亮度≥280cd/㎡,可视角度≥178°(H/V)。Specifically, the screen size of the touch screen display is ≥55 inches, the resolution is ≥3840*2160, the number of touch points is ≥6 points, the contrast ratio is ≥5000:1, the brightness is ≥280cd/㎡, and the viewing angle is ≥178°(H/V ).
具体的,所述患者模型内部设置有股动脉模型和肝总动脉模型,肝总动脉模型连接至股动脉模型并插入肝脏模型内。Specifically, the patient model is provided with a femoral artery model and a common hepatic artery model, and the common hepatic artery model is connected to the femoral artery model and inserted into the liver model.
具体的,所述肝脏模型内部设置有肿瘤模型。Specifically, a tumor model is set inside the liver model.
智能肝脏模型示教系统,包括以下步骤:The intelligent liver model teaching system includes the following steps:
1)模拟术前评估;1) simulated preoperative evaluation;
2)模拟麻醉和术前准备;2) simulated anesthesia and preoperative preparation;
3)模拟静脉通路建立、模拟动脉插管;3) Simulated venous access establishment and simulated arterial cannulation;
4)模拟导管引导介入;4) Simulated catheter-guided intervention;
5)模拟确定肝动脉分支;5) simulate and determine the branch of the hepatic artery;
6)模拟化疗药物注入;6) Simulate chemotherapy drug injection;
7)模拟栓塞剂注入;7) simulate embolism injection;
8)模拟观察和监测;8) Simulation observation and monitoring;
9)模拟导管拔除和止血;9) Simulated catheter removal and hemostasis;
10)模拟术后护理。10) Simulate postoperative care.
具体的,步骤1)、步骤2)、步骤8)中包括模拟患者生理指征和数据,涉及模拟监测血压和脉搏、模拟监测心电图、模拟监测血氧饱和度、模拟监测呼吸频率和深度、模拟监测温度、模拟监测凝血功能以及模拟监测图像监测。Specifically, step 1), step 2), and step 8) include simulating the patient's physiological signs and data, involving simulating monitoring of blood pressure and pulse, simulating monitoring of electrocardiogram, simulating monitoring of blood oxygen saturation, simulating monitoring of respiratory rate and depth, simulating Monitoring temperature, simulated monitoring of blood coagulation function and simulated monitoring of image monitoring.
与现有技术相比,本发明的优点和积极效果在于,Compared with prior art, advantage and positive effect of the present invention are,
1、本发明通过患者模型内的肝胆管道模型,使用虚拟仿真介入互动系统与多媒体互动的方式,来介绍肝脏疾病的症状,模拟训练肝动脉栓塞化疗术的操作程序和操作要点;1. The present invention uses the hepatobiliary duct model in the patient model to introduce the symptoms of liver diseases and simulate the operating procedures and key points of hepatic artery embolization by using the virtual simulation interventional interaction system and multimedia interaction;
2、本发明具备提供完整的肝动脉化疗栓塞术操作、肝动脉化疗栓塞术介入通路操作训练以及肝脏疾病的种类、体征及其病因的数字化讲解及科普宣传功能,解决了现有技术没有有关肝动脉化疗栓塞术的示教模型和模拟设备,不利于医护人员进行操作演练,不利于医护人员学习操作技术,不利于为患者普及宣教的问题。2. The present invention has the functions of providing complete hepatic arterial chemoembolization operation, hepatic arterial chemoembolization interventional access operation training, and digital explanation of the types, signs and etiologies of liver diseases and popular science publicity, which solves the problem that the prior art does not have relevant liver disease. The teaching model and simulation equipment of arterial chemoembolization are not conducive to medical staff performing operational drills, not conducive to medical staff learning operating techniques, and not conducive to popularizing education for patients.
附图说明Description of drawings
为了更清楚地说明本发明实施例的技术方案,下面将对实施例描述中所需要使用的附图作一简单地介绍,显而易见地,下面描述中的附图是本发明的一些实施例,对于本领域普通技术人员来讲,在不付出创造性劳动性的前提下,还可以根据这些附图获得其他的附图。In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the following will briefly introduce the accompanying drawings that need to be used in the description of the embodiments. Obviously, the accompanying drawings in the following description are some embodiments of the present invention. For Those of ordinary skill in the art can also obtain other drawings based on these drawings without any creative effort.
图1为实施例提供的智能肝脏模型示教系统的结构示意图;Fig. 1 is a schematic structural diagram of an intelligent liver model teaching system provided by an embodiment;
图2为实施例提供的智能肝脏模型示教系统的主视图;Fig. 2 is the front view of the intelligent liver model teaching system provided by the embodiment;
图3为实施例提供的智能肝脏模型示教系统的侧视图;Fig. 3 is a side view of the intelligent liver model teaching system provided by the embodiment;
图4为实施例提供的智能肝脏模型示教系统的俯视图;Fig. 4 is a top view of the intelligent liver model teaching system provided by the embodiment;
图5为实施例提供的智能肝脏模型示教系统的部分结构内部图;Fig. 5 is an internal diagram of part of the structure of the intelligent liver model teaching system provided by the embodiment;
以上各图中,1、演示柜,2、万向止动轮,3、操作平台,4、开关按钮,5、支撑柱,6、触屏显示器,7、患者模型,8、肝脏模型,9、注射器,10、导管;In the above figures, 1. Demonstration cabinet, 2. Universal stop wheel, 3. Operating platform, 4. Switch button, 5. Support column, 6. Touch screen display, 7. Patient model, 8. Liver model, 9. Syringe, 10, catheter;
其中,患者模型7包括,701、股动脉模型,702、肝总动脉模型;Wherein, patient model 7 includes, 701, femoral artery model, 702, common hepatic artery model;
肝脏模型8包括,801、肿瘤模型。Liver models 8 include, 801, tumor models.
具体实施方式Detailed ways
为了能够更清楚地理解本发明的上述目的、特征和优点,下面结合附图和实施例对本发明做进一步说明。需要说明的是,在不冲突的情况下,本申请的实施例及实施例中的特征可以相互组合。In order to more clearly understand the above objects, features and advantages of the present invention, the present invention will be further described below in conjunction with the accompanying drawings and embodiments. It should be noted that, in the case of no conflict, the embodiments of the present application and the features in the embodiments can be combined with each other.
在下面的描述中阐述了很多具体细节以便于充分理解本发明,但是,本发明还可以采用不同于在此描述的其他方式来实施,因此,本发明并不限于下面公开说明书的具体实施例的限制。In the following description, many specific details are set forth in order to fully understand the present invention. However, the present invention can also be implemented in other ways than described here. Therefore, the present invention is not limited to the specific embodiments disclosed below. limit.
实施例1,如图1-5所示,一种智能肝脏模型示教系统,包括演示柜1,演示柜1提供了支撑和保护的功能,同时可在演示柜1内部放置电脑主机等设备。其演示柜1底部设置有万向止动轮2,万向止动轮2可以将演示柜1灵活移动并固定,方便进行示教演示。演示柜1顶部设置有操作平台3,操作平台3提供支撑,方便医护人员进行操作。Embodiment 1, as shown in Figures 1-5, an intelligent liver model teaching system includes a demonstration cabinet 1, which provides support and protection functions, and at the same time, equipment such as computer hosts can be placed inside the demonstration cabinet 1. The bottom of the demonstration cabinet 1 is provided with a universal stop wheel 2, and the universal stop wheel 2 can flexibly move and fix the demonstration cabinet 1, which is convenient for teaching and demonstration. An operating platform 3 is provided on the top of the demonstration cabinet 1, and the operating platform 3 provides support to facilitate operations by medical staff.
操作平台3前侧设置有开关按钮4,开关按钮4控制整个系统的开关和启动,方便操作人员进行操作和控制。操作平台3后侧设置有支撑柱5,支撑柱5用于支撑和固定,支撑柱5顶部连接有触屏显示器6,通过支撑柱5对触屏显示器6进行抬高支撑固定。A switch button 4 is arranged on the front side of the operation platform 3, and the switch button 4 controls the switch and start of the whole system, which is convenient for the operator to operate and control. The rear side of the operating platform 3 is provided with a support column 5, which is used for support and fixing, and the top of the support column 5 is connected with a touch screen display 6, and the touch screen display 6 is raised, supported and fixed by the support column 5.
操作平台3顶部设置有患者模型7,通过逼真的模型结构和材质,可以模拟患者的腹腔解剖结构和病理情况,患者模型7内部设置有肝脏模型8,肝脏模型8用于模拟肝脏的解剖结构和病理情况,患者模型7上设置有介入模拟设备,通过介入模拟设备用模拟肝动脉化疗栓塞术的操作;The top of the operating platform 3 is provided with a patient model 7, which can simulate the anatomical structure and pathological conditions of the patient's abdominal cavity through the realistic model structure and materials. The patient model 7 is provided with a liver model 8 inside, and the liver model 8 is used to simulate the anatomical structure and In pathological conditions, the patient model 7 is provided with interventional simulation equipment, and the operation of hepatic arterial chemoembolization is simulated by the interventional simulation equipment;
其介入模拟设备包括注射器9和导管10,导管10连接在注射器9头部插入患者模型7内,模拟操作,训练医护人员对肝动脉进行插管和药物注入的技术。Its interventional simulation equipment includes a syringe 9 and a catheter 10. The catheter 10 is connected to the head of the syringe 9 and inserted into the patient model 7 to simulate operations and train medical staff to intubate the hepatic artery and inject drugs.
下面具体说一下上述关键部件的具体设计:Let's talk about the specific design of the above key components:
其万向止动轮2数量为4个设置在演示柜1底部四角。可以使演示柜1更加稳定,并且可以方便地移动和定位演示柜1,使操作和演示更加灵活和便捷。Its universal stop wheel 2 quantity is 4 and is arranged on the bottom four corners of demonstration cabinet 1. The demonstration cabinet 1 can be made more stable, and the demonstration cabinet 1 can be moved and positioned conveniently, making the operation and demonstration more flexible and convenient.
其触屏显示器6屏幕尺寸≥55寸,分辨率≥3840*2160,触控点数≥6点,对比度≥5000:1,亮度≥280cd/㎡,可视角度≥178°(H/V)。确保触屏显示器6的画面清晰、色彩鲜艳,同时具有较高的触控感应度和响应速度,使得医护人员在观看和模拟操作的时候能够方便地进行操作和控制。Its touch screen display 6 has a screen size ≥ 55 inches, resolution ≥ 3840*2160, touch points ≥ 6 points, contrast ratio ≥ 5000:1, brightness ≥ 280cd/㎡, viewing angle ≥ 178° (H/V). Ensure that the screen of the touch screen display 6 is clear and colorful, and has high touch sensitivity and response speed at the same time, so that the medical staff can conveniently operate and control when viewing and simulating operations.
其患者模型7内部设置有股动脉模型701和肝总动脉模型702,肝总动脉模型702连接至股动脉模型701并插入肝脏模型8内。模拟真实的肝动脉血供情况,使医护人员可以在模拟环境中进行肝动脉插管和药物注入的训练。The patient model 7 is provided with a femoral artery model 701 and a common hepatic artery model 702 , and the common hepatic artery model 702 is connected to the femoral artery model 701 and inserted into the liver model 8 . Simulate the real hepatic artery blood supply, so that medical staff can perform hepatic artery intubation and drug injection training in a simulated environment.
其肝脏模型8内部设置有肿瘤模型801。肿瘤模型801模拟肝细胞癌等肝脏疾病,使医护人员能够在模拟环境中进行肿瘤药物注射相关操作的训练。The liver model 8 is provided with a tumor model 801 inside. The tumor model 801 simulates liver diseases such as hepatocellular carcinoma, enabling medical staff to perform training on tumor drug injection-related operations in a simulated environment.
实施例2,如实施例1所示的一种智能肝脏模型示教系统,包括以下步骤:Embodiment 2, an intelligent liver model teaching system as shown in Embodiment 1, includes the following steps:
1)模拟术前评估,在决定进行TACE之前,操作者将根据患者身体数据对患者进行全面评估;1) Simulate the preoperative assessment. Before deciding to perform TACE, the operator will conduct a comprehensive assessment of the patient based on the patient's physical data;
2)模拟麻醉和术前准备,患者通常会接受局部麻醉,有时也可能需要静脉麻醉,由操作者根据模拟数据进行麻醉选择,完成术前的准备工作;2) Simulate anesthesia and preoperative preparation. Patients usually receive local anesthesia, and sometimes intravenous anesthesia may be required. The operator selects anesthesia based on the simulated data to complete the preoperative preparation;
步骤1)和步骤2)通过触屏显示器6模拟操作。Step 1) and step 2) are simulated through the touch screen display 6 .
3)模拟静脉通路建立、模拟动脉插管,在手术开始之前,会在患者的静脉中建立静脉通路,以便给予必要的药物和液体,选择在患者的腹股沟处进行动脉插管,将导管10插入到患者模型7的股动脉模型701内;3) Simulating the establishment of venous access and simulating arterial cannulation. Before the operation begins, a venous access will be established in the patient's veins to give necessary drugs and fluids. Arterial cannulation is selected at the patient's groin, and the catheter 10 is inserted into the femoral artery model 701 of the patient model 7;
4)模拟导管10引导介入,导管10插入后,将导管10引导到肝总动脉模型702的分支位置,确保导管10准确到达肿瘤模型801;4) Simulate the catheter 10 to guide the intervention. After the catheter 10 is inserted, guide the catheter 10 to the branch position of the common hepatic artery model 702 to ensure that the catheter 10 accurately reaches the tumor model 801;
5)模拟确定肝动脉分支,导管10到达肝总动脉模型702,操作者将通过注射器9向导管10内注射模拟造影剂,模拟识别肝动脉分支和病灶的血供操作;5) The branch of the hepatic artery is simulated and determined, the catheter 10 reaches the common hepatic artery model 702, and the operator will inject a simulated contrast agent into the catheter 10 through the syringe 9 to simulate the blood supply operation of identifying the branch of the hepatic artery and the lesion;
6)模拟化疗药物注入,确定了肝动脉分支后,操作者将注射器9将模拟化疗药物注入导管10;6) Simulating the injection of chemotherapy drugs. After determining the branch of the hepatic artery, the operator injects the simulated chemotherapy drugs into the catheter 10 with the syringe 9;
7)模拟栓塞剂注入,注入化疗药物之后,操作者将注射器9将模拟栓塞剂注入导管10;7) Injection of the simulated embolic agent, after injecting chemotherapy drugs, the operator injects the simulated embolic agent into the catheter 10 with the syringe 9;
步骤5)、步骤6)和步骤7)中的模拟造影剂、模拟化疗药物、模拟栓塞剂可使用空气或水来模拟。The simulated contrast agent, simulated chemotherapy drug and simulated embolic agent in step 5), step 6) and step 7) can be simulated by using air or water.
8)模拟观察和监测,操作者将密切观察触屏显示器6上显示患者的生命体征和血液供应,根据需要,操作者调整导管10的位置或注入的药物以及注入的流量;8) Simulation observation and monitoring, the operator will closely observe the patient's vital signs and blood supply displayed on the touch screen display 6, and adjust the position of the catheter 10 or the injected medicine and the injected flow rate as needed;
步骤8)通过触屏显示器6模拟操作。Step 8) Simulate the operation through the touch screen display 6 .
9)模拟导管10拔除和止血,操作者小心地拔除导管10,并施加压力在穿刺点上,模拟止血操作;9) To simulate the removal and hemostasis of the catheter 10, the operator carefully removes the catheter 10 and applies pressure on the puncture point to simulate the hemostasis operation;
10)模拟术后护理,术后操作者继续监测患者的情况,操作者根据患者的情况给予相应的处理。10) Simulate postoperative care, the operator continues to monitor the patient's condition after the operation, and the operator gives corresponding treatment according to the patient's condition.
步骤10)通过触屏显示器6模拟操作。Step 10) Simulate the operation through the touch screen display 6 .
其中,步骤1)、步骤2)、步骤8)中包括模拟患者生理指征和数据,涉及模拟监测血压和脉搏、模拟监测心电图、模拟监测血氧饱和度、模拟监测呼吸频率和深度、模拟监测温度、模拟监测凝血功能以及模拟监测图像监测,以上模拟参数均通过触屏显示器6模拟,锻炼医护人员对于患者出现生理参数波动时的操作。Among them, step 1), step 2), and step 8) include simulated patient physiological signs and data, involving simulated monitoring of blood pressure and pulse, simulated monitoring of electrocardiogram, simulated monitoring of blood oxygen saturation, simulated monitoring of respiratory rate and depth, simulated monitoring Temperature, simulated monitoring of blood coagulation function and simulated monitoring image monitoring, the above simulated parameters are all simulated through the touch screen display 6 to train medical staff to operate when the patient's physiological parameters fluctuate.
上述步骤1)-步骤10)为实施例1中所述的一种智能肝脏模型示教系统的优选操作步骤,旨在医护人员进行规范化模拟训练增强应对能力而不涉及具体手术方法。The above steps 1) to 10) are the preferred operation steps of an intelligent liver model teaching system described in Example 1, aiming at medical staff to carry out standardized simulation training to enhance coping ability without involving specific surgical methods.
本说明中未作详细描述的内容属于本领域专业技术人员公知的现有技术。The content not described in detail in this description belongs to the prior art known to those skilled in the art.
以上所述,仅是本发明的较佳实施例而已,并非是对本发明作其它形式的限制,任何熟悉本专业的技术人员可能利用上述揭示的技术内容加以变更或改型为等同变化的等效实施例应用于其它领域,但是凡是未脱离本发明技术方案内容,依据本发明的技术实质对以上实施例所作的任何简单修改、等同变化与改型,仍属于本发明技术方案的保护范围。The above is only a preferred embodiment of the present invention, and is not intended to limit the present invention to other forms. Any skilled person who is familiar with this profession may use the technical content disclosed above to change or modify the equivalent of equivalent changes. The embodiments are applied to other fields, but any simple modifications, equivalent changes and modifications made to the above embodiments according to the technical essence of the present invention still belong to the protection scope of the technical solutions of the present invention without departing from the content of the technical solutions of the present invention.
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