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CN207473925U - PTCD training model - Google Patents

PTCD training model Download PDF

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CN207473925U
CN207473925U CN201721046326.3U CN201721046326U CN207473925U CN 207473925 U CN207473925 U CN 207473925U CN 201721046326 U CN201721046326 U CN 201721046326U CN 207473925 U CN207473925 U CN 207473925U
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bile duct
intrahepatic bile
trunk shell
liver
ptcd
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卢强
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West China Hospital of Sichuan University
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West China Hospital of Sichuan University
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Abstract

本实用新型公开一种PTCD训练模型,属于医学教学技术领域,包括躯干外壳,穿刺表皮,肋骨,肝脏,肝内胆管,血管;躯干外壳对应于人体胸部至上腹部区域;躯干外壳前面设有第一开口,固定穿刺表皮;肋骨和肝脏均按照其在人体中的位置固定于躯干外壳中;肝内胆管为分支结构,设置于肝脏中;肝内胆管其中一个分支延伸至躯干外壳的外部;肝内胆管延伸至躯干外壳外部的一端设有封头;血管紧挨肝内胆管设置;血管穿过肝脏延伸至躯干外壳的外部;血管延伸至躯干外壳外部的一端设有封头;肝内胆管和血管的材质均为可修复材质,且其中均注有有色液体。本实用新型提供的PTCD训练模型,模拟了真实的人体表皮、器官和骨骼,能够帮助学员快速、熟练地掌握PTCD技术。

The utility model discloses a PTCD training model, which belongs to the technical field of medical teaching, and comprises a trunk shell, punctured epidermis, ribs, liver, intrahepatic bile ducts, and blood vessels; the trunk shell corresponds to the area from the chest to the upper abdomen of a human body; Opening, fixed to puncture the epidermis; ribs and liver are fixed in the trunk shell according to their positions in the human body; the intrahepatic bile duct is a branch structure and is located in the liver; one of the branches of the intrahepatic bile duct extends to the outside of the trunk shell; The end of the bile duct extending to the outside of the trunk shell is capped; the blood vessel is placed next to the intrahepatic bile duct; the blood vessel extends through the liver to the outside of the trunk shell; the end of the vessel extending outside the trunk shell is capped; the intrahepatic bile duct and blood vessel All materials are repairable materials, and all of them are filled with colored liquids. The PTCD training model provided by the utility model simulates real human epidermis, organs and bones, and can help trainees quickly and proficiently master the PTCD technology.

Description

一种PTCD训练模型A PTCD training model

技术领域technical field

本实用新型属于医学教学技术领域,尤其涉及一种PTCD训练模型。The utility model belongs to the technical field of medical teaching, in particular to a PTCD training model.

背景技术Background technique

PTCD(percutaneous transhepat ic cho l angia l drai nage)在医学上称为经皮肝穿刺胆道引流。是在X线或B超、彩超引导下,利用穿刺针经皮经肝穿入肝内胆管,再置入引流管,实现胆道引流。其中,进行穿刺时,患者处于仰卧位,穿刺针穿过患者的皮肤和肝脏,刺入肝脏内的胆管中。目前,学员在学习穿刺技术时,以理论学习为主。而要熟练地掌握穿刺及置管技术,需要多次实践,以达到准确穿刺、置管到位的目的。因此,在学习过程中,需要一种人体胸腔至上腹部的模型,来模拟真实的人体表皮、器官和骨骼,以便学员能够具体地实践操作,准确、熟练地掌握PTCD技术。PTCD (percutaneous transhepatic cho l angia l drai nage) is called percutaneous transhepatic biliary drainage in medicine. Under the guidance of X-ray or B-ultrasound or color Doppler ultrasound, a puncture needle is used to percutaneously penetrate the intrahepatic bile duct through the liver, and then a drainage tube is placed to achieve biliary drainage. Wherein, when the puncture is performed, the patient is in a supine position, and the puncture needle passes through the patient's skin and liver, and penetrates into the bile duct in the liver. At present, when students learn puncture techniques, they mainly focus on theoretical study. To master the puncture and catheterization techniques proficiently, many times of practice are needed to achieve accurate puncture and catheter placement. Therefore, in the learning process, a model from the chest cavity to the upper abdomen of the human body is needed to simulate the real human epidermis, organs and bones, so that the students can practice the operation and master the PTCD technology accurately and proficiently.

实用新型内容Utility model content

本实用新型旨在提供一种PTCD训练模型,模拟了真实的人体表皮、器官和骨骼以及肝内与胆道毗邻的门静脉系统,能够帮助学员快速、熟练地掌握PTCD技术。The utility model aims to provide a PTCD training model, which simulates the real human epidermis, organs and bones, as well as the portal vein system adjacent to the biliary tract in the liver, and can help trainees quickly and skillfully master the PTCD technique.

为达到上述目的,本实用新型采用的技术方案如下:In order to achieve the above object, the technical scheme adopted by the utility model is as follows:

本实用新型公开的一种PTCD训练模型,包括躯干外壳、穿刺表皮、肋骨、肝脏、肝内胆管及血管;所述躯干外壳对应于人体胸部至上腹部区域;所述躯干外壳前面设有第一开口,所述第一开口处固定所述穿刺表皮;所述肋骨和肝脏均按照其在人体中的位置固定于所述躯干外壳中;所述肝内胆管为分支结构,设置于所述肝脏中;所述肝内胆管其中的一个分支穿过所述肝脏延伸至躯干外壳的外部;所述肝内胆管延伸至躯干外壳外部的一端设有第一封头;所述血管紧挨所述肝内胆管设置;所述血管穿过所述肝脏延伸至躯干外壳的外部;所述血管延伸至躯干外壳外部的一端设有第二封头;所述肝内胆管和血管的材质均为可修复材质;所述肝内胆管和血管中均注有有色液体。A PTCD training model disclosed by the utility model comprises a trunk shell, punctured epidermis, ribs, liver, intrahepatic bile ducts and blood vessels; the trunk shell corresponds to the region from the chest to the upper abdomen of a human body; the front of the trunk shell is provided with a first opening , the punctured epidermis is fixed at the first opening; the ribs and the liver are fixed in the trunk shell according to their positions in the human body; the intrahepatic bile duct is a branch structure and is arranged in the liver; One of the branches of the intrahepatic bile duct extends through the liver to the outside of the trunk shell; the end of the intrahepatic bile duct extending to the outside of the trunk shell is provided with a first head; the blood vessel is adjacent to the intrahepatic bile duct Setting; the blood vessel extends through the liver to the outside of the trunk shell; the end of the blood vessel extending to the outside of the trunk shell is provided with a second head; the materials of the intrahepatic bile duct and the blood vessel are all repairable materials; The intrahepatic bile ducts and blood vessels are filled with colored liquid.

进一步地,所述血管为封闭的循环管道;位于躯干外壳外部的所述循环管道中设有循环泵。Further, the blood vessel is a closed circulation pipeline; a circulation pump is provided in the circulation pipeline outside the shell of the torso.

优选地,所述穿刺表皮与所述肝脏之间的距离为2~5cm。Preferably, the distance between the punctured epidermis and the liver is 2-5 cm.

优选地,所述肝内胆管的管道直径为5~10mm。Preferably, the diameter of the intrahepatic bile duct is 5-10 mm.

优选地,所述血管的管道直径为5~10mm。Preferably, the diameter of the blood vessel is 5-10 mm.

优选地,所述肋骨有3~12根。Preferably, there are 3-12 ribs.

优选地,所述躯干外壳包括前部和后部;所述前部和所述后部可拆卸连接。Preferably, said torso shell comprises a front part and a rear part; said front part and said rear part are detachably connected.

本实用新型提供的PTCD训练模型,设置了人体胸部至上腹部的躯干、躯干表面的表皮、以及躯干内部的骨骼、肝脏、肝内胆管和血管,将肝内胆管和血管中注入有颜色的液体,并将肝内胆管和血管的管道均采用可修复材质制作,模拟了人体真实的组织结构。学员在穿刺练习时,手执穿刺针,通过穿刺表皮刺入肝脏,进而刺入肝内胆管。整个过程在彩超的实时监控下进行,彩超可清晰地显示穿刺针是否进入肝内胆管。由于肝内胆管填充了有色液体,当穿刺位置正确时,穿刺针能够从中抽吸出该有色液体,从而能够指导学员进行规范的操作。当穿刺到血管时,穿刺针会抽吸出血管内的有色液体,从而提示学员穿刺有误。可修复材料的使用使得肝内胆管及血管可经受反复、多次的穿刺。The PTCD training model provided by the utility model is provided with the torso from the chest to the upper abdomen of the human body, the epidermis on the surface of the torso, and the bones, liver, intrahepatic bile ducts and blood vessels inside the torso, injecting colored liquid into the intrahepatic bile ducts and blood vessels, And the ducts of intrahepatic bile ducts and blood vessels are made of repairable materials, simulating the real tissue structure of the human body. During the puncture practice, the students hold the puncture needle in their hands, puncture the epidermis into the liver, and then puncture the intrahepatic bile duct. The whole process is carried out under the real-time monitoring of color Doppler ultrasound, which can clearly show whether the puncture needle enters the intrahepatic bile duct. Since the intrahepatic bile duct is filled with colored liquid, when the puncture position is correct, the puncture needle can suck out the colored liquid, so as to guide students to perform standardized operations. When the blood vessel is punctured, the puncture needle will suck out the colored liquid in the blood vessel, thus prompting the students to make a wrong puncture. The use of repairable materials enables intrahepatic bile ducts and blood vessels to withstand repeated and multiple punctures.

附图说明Description of drawings

图1为本实用新型实施例的结构示意图;Fig. 1 is the structural representation of the utility model embodiment;

图中:1为躯干外壳,2为穿刺表皮,3为肋骨,4为肝脏,5为肝内胆管,6为血管,7为第一封头,8为第二封头,9为循环泵。In the figure: 1 is the trunk shell, 2 is the punctured epidermis, 3 is the rib, 4 is the liver, 5 is the intrahepatic bile duct, 6 is the blood vessel, 7 is the first head, 8 is the second head, and 9 is the circulation pump.

具体实施方式Detailed ways

为了使本实用新型的目的、技术方案及优点更加清楚明白,以下结合附图,对本实用新型进行进一步详细说明。In order to make the purpose, technical solution and advantages of the utility model clearer, the utility model will be further described in detail below in conjunction with the accompanying drawings.

图1为本实用新型实施例的结构示意图,为了更清楚地显示内部结构,图中省略了肝脏上方的部分肋骨。本实施例提供的PTCD训练模型包括:躯干外壳1,穿刺表皮2,肋骨3,肝脏4,肝内胆管5,血管6;所述躯干外壳1对应于人体胸部至上腹部区域;所述躯干外壳1前面设有第一开口,所述第一开口处固定所述穿刺表皮2;所述肋骨3和肝脏4均按照其在人体中的位置固定于所述躯干外壳1中;所述肝内胆管5为分支结构,设置于所述肝脏4中;所述肝内胆管5其中的一个分支穿过所述肝脏4延伸至躯干外壳1的外部;所述肝内胆管5延伸至躯干外壳1外部的一端设有第一封头7;所述血管6紧挨所述肝内胆管5设置,即所述血管6与所述肝内胆管5之间无缝隙;所述血管6穿过所述肝脏4延伸至躯干外壳1的外部;所述血管6延伸至躯干外壳1外部的一端设有第二封头8;所述肝内胆管5和血管6的材质均为可修复材质;所述肝内胆管5和血管6中均注有有色液体。肝内胆管中的有色液体优选为金黄色,通过第一封头7处的开口注入;血管中的有色液体优选为红色,通过第二封头8处的开口注入。Fig. 1 is a structural schematic diagram of an embodiment of the present invention. In order to show the internal structure more clearly, some ribs above the liver are omitted in the figure. The PTCD training model that the present embodiment provides comprises: trunk shell 1, puncture epidermis 2, rib 3, liver 4, intrahepatic bile duct 5, blood vessel 6; Described trunk shell 1 corresponds to human chest to upper abdomen region; Described trunk shell 1 The front is provided with a first opening, and the punctured epidermis 2 is fixed at the first opening; the ribs 3 and the liver 4 are fixed in the trunk shell 1 according to their positions in the human body; the intrahepatic bile duct 5 It is a branch structure, which is arranged in the liver 4; one branch of the intrahepatic bile duct 5 passes through the liver 4 and extends to the outside of the trunk shell 1; the intrahepatic bile duct 5 extends to one end of the outside of the trunk shell 1 A first sealing head 7 is provided; the blood vessel 6 is arranged next to the intrahepatic bile duct 5, that is, there is no gap between the blood vessel 6 and the intrahepatic bile duct 5; the blood vessel 6 extends through the liver 4 To the outside of the trunk shell 1; the end of the blood vessel 6 extending to the outside of the trunk shell 1 is provided with a second head 8; the materials of the intrahepatic bile duct 5 and the blood vessel 6 are all repairable materials; the intrahepatic bile duct 5 All be filled with colored liquid in blood vessel 6. The colored liquid in the intrahepatic bile duct is preferably golden yellow, and is injected through the opening at the first head 7; the colored liquid in the blood vessel is preferably red, and is injected through the opening at the second head 8.

进一步地,将血管6设计为封闭的循环管道;位于躯干外壳外部的循环管道中串联循环泵9,红色液体通过循环泵9在血管6中循环流动,模拟人体真实的血液流动。Furthermore, the blood vessel 6 is designed as a closed circulation pipeline; the circulation pump 9 is connected in series in the circulation pipeline outside the torso shell, and the red liquid circulates in the blood vessel 6 through the circulation pump 9, simulating the real blood flow of the human body.

本实施例中,穿刺表皮2与肝脏4之间的距离为2~5cm;所述肝内胆管5的管道直径为5~10mm,所述肋骨3有3~12根。本实施例中,所述躯干外壳包括前部和后部;所述前部和所述后部可拆卸连接。肋骨3和肝脏4上均设有连接装置;所述肋骨3和肝脏4分别通过所述连接装置连接躯干外壳1的后部。所述肋骨3和躯干外壳1之间可拆卸连接;所述肝脏4和躯干外壳1之间可拆卸连接。通过可拆卸连接的方式,可更加方便地向学员展示人体的组织架构,提高教学质量。In this embodiment, the distance between the punctured epidermis 2 and the liver 4 is 2-5 cm; the diameter of the intrahepatic bile duct 5 is 5-10 mm, and there are 3-12 ribs 3 . In this embodiment, the torso shell includes a front part and a rear part; the front part and the rear part are detachably connected. Both the ribs 3 and the liver 4 are provided with connecting devices; the ribs 3 and the liver 4 are respectively connected to the rear part of the trunk shell 1 through the connecting devices. The ribs 3 are detachably connected to the torso shell 1; the liver 4 is detachably connected to the torso shell 1. Through the detachable connection, it is more convenient to show the organizational structure of the human body to the students and improve the teaching quality.

本实用新型提供的PTCD训练模型,设置了人体胸部至上腹部的躯干、躯干表面的表皮、以及躯干内部的骨骼、肝脏、肝内胆管和血管,将肝内胆管和血管中均注入有颜色的液体,并将肝内胆管和血管的管道采用可修复材质制作,血管管路中还串联有循环泵让其中的有色液体流动,模拟了人体真实的组织结构,便于彩超鉴别血管和胆管。其中,血管的设置更加完善了PTCD训练模型,使学员更加熟练地区分血管和肝内胆管,避免穿刺错误。学员在穿刺练习时,手执穿刺针,通过穿刺表皮刺入肝脏,进而刺入肝内胆管。由于肝内胆管填充了有色液体,当穿刺位置正确时,穿刺针能够从中抽吸出该有色液体。可修复材料的使用使得肝内胆管可经受反复、多次的穿刺,也使血管在被误刺时能恢复原状。穿刺成功后,学员还可以在本模型上沿穿刺针置入导丝、退出穿刺针、沿导丝置入引流管、退出导丝及固定引流管等PTCD的后续操作,从而完成一套完整的PTCD手术步骤,以便对PTCD技术有更加直观和深入的理解。以上操作均在彩超的实时监控下进行,彩超可清晰地显示每个操作步骤的正确性,并可准确地分辨肝内胆管和肝内门静脉分支。综上所述,本实用新型提供的PTCD训练模型,能够指导学员进行规范的操作,帮助学员快速、熟练地掌握PTCD技术。The PTCD training model provided by the utility model is provided with the torso from the chest to the upper abdomen of the human body, the epidermis on the surface of the torso, and the bones, liver, intrahepatic bile ducts and blood vessels inside the torso, and injects colored liquid into the intrahepatic bile ducts and blood vessels , and the pipelines of intrahepatic bile ducts and blood vessels are made of repairable materials, and a circulating pump is connected in series to allow the colored liquid to flow, which simulates the real tissue structure of the human body and is convenient for color Doppler ultrasound to identify blood vessels and bile ducts. Among them, the setting of blood vessels further improves the PTCD training model, enabling students to more skillfully distinguish blood vessels and intrahepatic bile ducts and avoid puncture errors. During the puncture practice, the students hold the puncture needle in their hands, puncture the epidermis into the liver, and then puncture the intrahepatic bile duct. Since the intrahepatic bile duct is filled with colored fluid, the needle is able to aspirate the colored fluid through it when the puncture is in place. The use of repairable materials enables the intrahepatic bile duct to withstand repeated and multiple punctures, and also enables the blood vessel to return to its original shape when it is accidentally punctured. After the puncture is successful, the trainees can also insert the guide wire along the puncture needle, withdraw the puncture needle, insert the drainage tube along the guide wire, withdraw the guide wire and fix the drainage tube on this model, so as to complete a complete set of PTCD operations. PTCD surgical steps, in order to have a more intuitive and in-depth understanding of PTCD technology. The above operations are all carried out under the real-time monitoring of color Doppler ultrasound, which can clearly show the correctness of each operation step, and can accurately distinguish the intrahepatic bile duct and intrahepatic portal vein branches. To sum up, the PTCD training model provided by the utility model can guide students to perform standardized operations and help students master PTCD technology quickly and proficiently.

当然,本实用新型还可有其它多种实施例,在不背离本实用新型精神及其实质的情况下,熟悉本领域的技术人员可根据本实用新型作出各种相应的改变和变形,但这些相应的改变和变形都应属于本实用新型所附的权利要求的保护范围。Certainly, the utility model also can have other various embodiments, under the situation of not departing from the spirit and essence of the utility model, those skilled in the art can make various corresponding changes and distortions according to the utility model, but these Corresponding changes and deformations should all belong to the scope of protection of the appended claims of the utility model.

Claims (7)

1.一种PTCD训练模型,其特征在于,包括:躯干外壳(1),穿刺表皮(2),肋骨(3),肝脏(4),肝内胆管(5),血管(6);所述躯干外壳(1)对应于人体胸部至上腹部区域;所述躯干外壳(1)前面设有第一开口,所述第一开口处固定所述穿刺表皮(2);所述肋骨(3)和肝脏(4)均按照其在人体中的位置固定于所述躯干外壳(1)中;所述肝内胆管(5)为分支结构,设置于所述肝脏(4)中;所述肝内胆管(5)其中的一个分支穿过所述肝脏(4)延伸至躯干外壳(1)的外部;所述肝内胆管(5)延伸至躯干外壳(1)外部的一端设有第一封头(7);所述血管(6)紧挨所述肝内胆管(5)设置;所述血管(6)穿过所述肝脏(4)延伸至躯干外壳(1)的外部;所述血管(6)延伸至躯干外壳(1)外部的一端设有第二封头(8);所述肝内胆管(5)和血管(6)的材质均为可修复材质;所述肝内胆管(5)和血管(6)中均注有有色液体。1. a PTCD training model, is characterized in that, comprises: trunk shell (1), puncture epidermis (2), rib (3), liver (4), intrahepatic bile duct (5), blood vessel (6); Described The trunk shell (1) corresponds to the region from the chest to the upper abdomen of the human body; the front of the trunk shell (1) is provided with a first opening, and the punctured epidermis (2) is fixed at the first opening; the ribs (3) and the liver (4) are all fixed in the trunk shell (1) according to their positions in the human body; the intrahepatic bile duct (5) is a branch structure and is arranged in the liver (4); the intrahepatic bile duct ( 5) One of the branches passes through the liver (4) and extends to the outside of the trunk shell (1); the end of the intrahepatic bile duct (5) extending to the outside of the trunk shell (1) is provided with a first head (7 ); the blood vessel (6) is arranged next to the intrahepatic bile duct (5); the blood vessel (6) extends through the liver (4) to the outside of the trunk shell (1); the blood vessel (6) One end extending to the outside of the trunk shell (1) is provided with a second head (8); the materials of the intrahepatic bile duct (5) and the blood vessel (6) are all repairable materials; the intrahepatic bile duct (5) and All blood vessels (6) are injected with colored liquid. 2.根据权利要求1所述的PTCD训练模型,其特征在于,所述血管(6)为封闭的循环管道;位于躯干外壳(1)外部的所述循环管道中设有循环泵(9)。2. PTCD training model according to claim 1, is characterized in that, described blood vessel (6) is the circulation pipeline of closure; Be positioned at the described circulation pipeline of trunk shell (1) outside and be provided with circulation pump (9). 3.根据权利要求1所述的PTCD训练模型,其特征在于,所述穿刺表皮(2)与所述肝脏(4)之间的距离为2~5cm。3. The PTCD training model according to claim 1, characterized in that the distance between the punctured skin (2) and the liver (4) is 2-5 cm. 4.根据权利要求1所述的PTCD训练模型,其特征在于,所述肝内胆管(5)的管道直径为5~10mm。4. The PTCD training model according to claim 1, characterized in that, the duct diameter of the intrahepatic bile duct (5) is 5-10 mm. 5.根据权利要求1所述的PTCD训练模型,其特征在于,所述血管(6)的管道直径为5~10mm。5. The PTCD training model according to claim 1, characterized in that, the pipeline diameter of the blood vessel (6) is 5-10 mm. 6.根据权利要求1所述的PTCD训练模型,其特征在于,所述肋骨(3)有3~12根。6. The PTCD training model according to claim 1, characterized in that there are 3 to 12 ribs (3). 7.根据权利要求1所述的PTCD训练模型,其特征在于,所述躯干外壳(1)包括前部和后部;所述前部和所述后部可拆卸连接。7. PTCD training model according to claim 1, is characterized in that, described trunk shell (1) comprises front part and rear part; Described front part and described rear part are detachably connected.
CN201721046326.3U 2017-08-21 2017-08-21 PTCD training model Expired - Fee Related CN207473925U (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109064859A (en) * 2018-08-17 2018-12-21 温州市人民医院 A kind of dirty tumor puncture training pattern of Control of Hemorrhage in Laparoscopic Liver
CN110070774A (en) * 2019-04-15 2019-07-30 四川大学华西医院 A kind of ultrasonic simulation device for guiding nasointestinal tube to dispose

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109064859A (en) * 2018-08-17 2018-12-21 温州市人民医院 A kind of dirty tumor puncture training pattern of Control of Hemorrhage in Laparoscopic Liver
CN110070774A (en) * 2019-04-15 2019-07-30 四川大学华西医院 A kind of ultrasonic simulation device for guiding nasointestinal tube to dispose

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