CN114343802B - Puncture positioning method and positioning assembly - Google Patents
Puncture positioning method and positioning assembly Download PDFInfo
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- CN114343802B CN114343802B CN202210117652.8A CN202210117652A CN114343802B CN 114343802 B CN114343802 B CN 114343802B CN 202210117652 A CN202210117652 A CN 202210117652A CN 114343802 B CN114343802 B CN 114343802B
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- positioning
- guide rod
- positioning guide
- sleeve
- puncture
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- 238000000034 method Methods 0.000 title abstract description 22
- 210000000988 bone and bone Anatomy 0.000 claims abstract description 54
- 230000003444 anaesthetic effect Effects 0.000 claims description 3
- 230000000149 penetrating effect Effects 0.000 claims 1
- 238000003780 insertion Methods 0.000 abstract description 6
- 230000037431 insertion Effects 0.000 abstract description 6
- 210000001519 tissue Anatomy 0.000 abstract description 6
- 238000005553 drilling Methods 0.000 description 5
- 238000009434 installation Methods 0.000 description 5
- 230000007423 decrease Effects 0.000 description 2
- 230000003902 lesion Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000000399 orthopedic effect Effects 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
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- Surgical Instruments (AREA)
Abstract
The invention discloses a puncture positioning method and a positioning assembly, wherein a positioning guide wire passes through a positioning needle tube to reach a positioning point of a bone tissue area, a guide rod sleeve with an expanding part at one end is sleeved outside the positioning guide wire, one end of the expanding part enters the bone tissue area along the positioning guide wire, one end of a positioning guide rod passes through the guide rod sleeve to reach the positioning point, and a positioning guide hole is formed at the positioning point of the bone tissue area by hammering the positioning guide rod through a bone hammer. Through the puncture positioning method with the optimal design, the structural design is reasonable, the guide rod sleeve enters the osseous tissue region along the positioning guide wire, and the expansion is realized while the guide rod sleeve is inserted, so that the positioning guide rod reaches the positioning point through the guide rod sleeve, the expansion and the double insertion of the guide rod sleeve are avoided, the time of the step of the perforation operation is reduced, and the secondary damage of human tissues is avoided.
Description
Technical Field
The invention relates to the technical field of puncture positioning, in particular to a puncture positioning method and a puncture positioning assembly.
Background
In minimally invasive orthopedic surgery, a doctor needs to locate a lesion position using an X-ray fluoroscopic image, thereby estimating a needle insertion site. In the puncture positioning process, a positioning guide wire is usually required to be arranged, then a hole is reamed through an expansion pipe, and then the hole is reamed and then the hole is knocked and perforated through a positioning guide rod on osseous tissues needing to be polished and perforated. To facilitate positioning guide insertion and to provide guidance for the positioning guide when it is knocked, it is often necessary to provide it with a guide sleeve. However, the guide rod sleeve needs to be inserted along the guide wire for the second time, and the insertion accuracy of the guide rod sleeve is affected due to the size difference of the guide rod sleeve and the guide wire, so that the human tissue is secondarily damaged.
Disclosure of Invention
In order to solve the technical problems in the background art, the invention provides a puncture positioning method and a puncture positioning assembly.
The invention provides a puncture positioning method, which comprises the following steps:
S1, firstly, puncturing a bone tissue area needing to be polished and perforated through a positioning needle tube;
S2, positioning is carried out through a positioning guide wire passing through a positioning needle tube to reach a positioning point of the osseous tissue region;
S3, sleeving a guide rod sleeve with an expansion part at one end outside the positioning guide wire, enabling one end of the expansion part to enter the osseous tissue region along the positioning guide wire, and then withdrawing the positioning guide wire;
and S4, enabling one end of a positioning guide rod to penetrate through the guide rod sleeve to reach the positioning point, and forming a positioning guide hole at the positioning point of the osseous tissue region through the bone hammer striking positioning guide rod.
Preferably, in S1, anesthetic is injected into the bony tissue region through a positioning needle.
Preferably, in S4, the positioning guide is fixed with the guide sleeve before striking the positioning guide.
Preferably, in S4, the positioning guide with the tip is first advanced along the guide cannula, the bone is struck with the bone hammer to form a recess in the bone, then the positioning guide with the blunt tip is replaced with the blunt tip at the recess, and the bone hammer is struck again to continue into the spinal canal.
The invention also provides a puncture positioning assembly, which is characterized by being used for the puncture positioning method.
Preferably, it comprises: the device comprises a positioning needle tube, a positioning guide wire, a positioning guide rod and a guide rod sleeve;
The two ends of the guide rod sleeve are respectively provided with an expansion part and a mounting part, and the outer diameter of the expansion part gradually decreases in the direction away from the mounting part;
the two ends of the positioning guide rod are respectively provided with a knocking part and a drill bit part, one end of the drill bit part penetrates through the dual-purpose guide rod sleeve from one end of the mounting part, and the knocking part is positioned on one side, away from the expanding part, of the mounting part.
Preferably, the outer diameter of the mounting portion is larger than the outer diameter of the dual-purpose guide rod sleeve.
Preferably, the outer wall of the installation part is provided with external threads, the knocking part forms a sleeve structure at the periphery of the installation part, and the inner wall of the sleeve structure is provided with internal threads matched with the threads of the installation part.
Preferably, the positioning guide rod comprises a rod body and a working drill bit, and the working drill bit is detachably arranged at one end of the rod body.
Preferably, the drill bit portion has a triangular pointed configuration.
According to the puncture positioning method and the positioning assembly, a positioning guide wire passes through a positioning needle tube to reach a positioning point of the osseous tissue region, a guide rod sleeve with an expanding part at one end is sleeved outside the positioning guide wire, one end of the expanding part enters the osseous tissue region along the positioning guide wire, one end of the positioning guide rod passes through the guide rod sleeve to reach the positioning point, and a positioning guide hole is formed at the positioning point of the osseous tissue region by hammering the positioning guide rod through a bone hammer. According to the puncture positioning method and the positioning assembly with the optimal design, the guide rod sleeve enters the osseous tissue region along the positioning guide wire, and the expansion is realized while the guide rod sleeve is inserted, so that the positioning guide rod reaches the positioning point through the guide rod sleeve, the expansion and the double insertion of the guide rod sleeve are avoided, the time of the step of a perforation operation is reduced, and the secondary damage of human tissues is avoided.
Drawings
Fig. 1 is a schematic structural view of a guide rod sleeve of a puncture positioning assembly according to the present invention.
Fig. 2 is a schematic structural view of a positioning guide rod of a puncture positioning assembly according to the present invention.
Fig. 3 is a schematic structural view of the positioning needle tube and the positioning guide wire inserted into the osseous tissue region in S2 of the puncture positioning method according to the present invention.
Fig. 4 is a schematic structural view of the guide rod sleeve inserted into a bone tissue region along a positioning guide wire in S3 of the puncture positioning method according to the present invention.
Fig. 5 is a schematic structural view of the positioning guide rod and the guide rod sleeve inserted into the osseous tissue region in S4 of the puncture positioning method according to the present invention.
Detailed Description
Fig. 1 to 5 show, fig. 1 is a schematic structural view of a guide rod sleeve of a puncture positioning assembly according to the present invention, fig. 2 is a schematic structural view of a positioning guide rod of a puncture positioning assembly according to the present invention, fig. 3 is a schematic structural view of a positioning needle tube and a positioning guide wire inserted into a bone tissue region in S2 of a puncture positioning method according to the present invention, fig. 4 is a schematic structural view of a guide rod sleeve inserted into a bone tissue region along a positioning guide wire in S3 of a puncture positioning method according to the present invention, and fig. 5 is a schematic structural view of a positioning guide rod and a guide rod sleeve inserted into a bone tissue region in S4 of a puncture positioning method according to the present invention. .
Referring to fig. 1 to 5, the present invention also proposes a puncture positioning assembly comprising: the positioning needle tube 3, the positioning guide wire 4, the positioning guide rod 2 and the guide rod sleeve 1;
the two ends of the guide rod sleeve 1 are respectively provided with an expansion part 11 and a mounting part 12, and the outer diameter of the expansion part 11 gradually decreases in the direction away from the mounting part 12;
the two ends of the positioning guide rod 2 are respectively provided with a knocking part 21 and a drill bit part, one end of the drill bit part penetrates through the dual-purpose guide rod sleeve 1 from one end of the mounting part 12, and the knocking part 21 is positioned on one side, away from the expansion part 11, of the mounting part 12.
Wherein the drill bit part is provided with a triangular pointed structure.
The invention provides a puncture positioning method, which comprises the following steps:
s1, firstly, puncturing a bone tissue area needing to be polished and perforated through a positioning needle tube 3;
Specifically, anesthetic can be injected into the osseous tissue area through the positioning needle tube 3 in advance, and after the injector is removed, the positioning needle tube is used for guiding a subsequent positioning guide wire.
S2, positioning is carried out through a positioning guide wire 4 passing through a positioning needle tube 3 to reach a positioning point of the osseous tissue region; as shown in fig. 3;
S3, sleeving a guide rod sleeve 1 with an expansion part 11 at one end outside the positioning guide wire 4, enabling one end of the expansion part 11 to enter the osseous tissue area along the positioning guide wire 4, and then exiting the positioning guide wire 4; as shown in fig. 4;
in particular, in a particular embodiment of the guide sleeve, the outer diameter of the mounting portion 12 is larger than the outer diameter of the guide sleeve 1. During knocking, one end of the drill bit part of the positioning guide rod penetrates through the guide rod sleeve, the mounting part and the knocking part of the guide rod support, guiding is provided for the guide rod in the process of knocking drilling, the drilling position is ensured to be accurate, and meanwhile, the guide rod enters along with knocking, and meanwhile, the expanding part at the front end of the sleeve protects tissues around the drilling position, so that secondary damage is avoided.
In a specific matching manner of the installation part of the guide rod sleeve and the knocking part for positioning the guide rod, the knocking part 21 is detachably connected with the installation part 12. Specifically, the outer wall of the mounting portion 12 is provided with external threads, and accordingly, the knocking portion 21 forms a sleeve structure at the outer periphery of the mounting portion 12, and the inner wall of the sleeve structure is provided with internal threads in threaded fit with the mounting portion 12; the two are connected into a whole through threaded fit.
S4, one end of a positioning guide rod 2 penetrates through the guide rod sleeve 1 to reach the positioning point, and a positioning guide hole is formed at the positioning point of the osseous tissue region through the bone hammer striking positioning guide rod 2; as shown in fig. 5.
Specifically, the positioning guide 2 is fixed with the guide sleeve 1 before the positioning guide 2 is knocked.
In order to ensure that the formed positioning holes are adapted to the subsequent working sleeve, further reaming can be performed after drilling by means of positioning guides with different drill bit sections. Therefore, in the specific design manner of the positioning guide rod, the positioning guide rod 2 includes a rod body and a working drill bit 22, and the working drill bit 22 is detachably mounted at one end of the rod body.
In a specific drilling process, firstly, a positioning guide rod 2 with a pointed end is introduced along a guide rod sleeve 1, a bone hammer is used for knocking the positioning guide rod 2 to form a groove on bone, then the positioning guide rod 2 with a blunt end is replaced, the blunt end of the positioning guide rod 2 is positioned at the groove, and the bone hammer is used for knocking the positioning guide rod 2 again to enable the positioning guide rod to continuously enter a vertebral canal.
In this embodiment, the puncture positioning method and the positioning assembly provided reach the positioning point of the osseous tissue region by passing the positioning guide wire through the positioning needle tube, sleeving the guide rod sleeve with the expansion part at one end outside the positioning guide wire, enabling one end of the expansion part to enter the osseous tissue region along the positioning guide wire, enabling one end of the positioning guide rod to pass through the guide rod sleeve to reach the positioning point, and forming a positioning guide hole at the positioning point of the osseous tissue region by striking the positioning guide rod through a bone hammer. Through the puncture positioning method with the optimal design, the structural design is reasonable, the guide rod sleeve enters the osseous tissue region along the positioning guide wire, and the expansion is realized while the guide rod sleeve is inserted, so that the positioning guide rod reaches the positioning point through the guide rod sleeve, the expansion and the double insertion of the guide rod sleeve are avoided, the time of the step of the perforation operation is reduced, and the secondary damage of human tissues is avoided.
The foregoing is only a preferred embodiment of the present invention, but the scope of the present invention is not limited thereto, and any person skilled in the art, who is within the scope of the present invention, should make equivalent substitutions or modifications according to the technical scheme of the present invention and the inventive concept thereof, and should be covered by the scope of the present invention.
Claims (6)
1. A puncture positioning assembly, comprising: the device comprises a positioning needle tube (3), a positioning guide wire (4), a positioning guide rod (2) and a guide rod sleeve (1);
The two ends of the guide rod sleeve (1) are respectively provided with an expansion part (11) and a mounting part (12), and the outer radial direction of the expansion part (11) is gradually reduced in the direction away from the mounting part (12);
The two ends of the positioning guide rod (2) are respectively provided with a knocking part (21) and a drill bit part, one end of the drill bit part penetrates through the guide rod sleeve (1) from one end of the mounting part (12), and the knocking part (21) is positioned at one side, far away from the expansion part (11), of the mounting part (12);
The positioning needle tube (3) is used for puncturing a bone tissue area needing to be polished and perforated;
the positioning guide wire (4) is used for positioning the positioning needle tube (3) through a positioning point of the positioning needle tube (3) reaching the osseous tissue region after the positioning needle tube (3) punctures the osseous tissue region needing to be polished, and backing out of the positioning guide wire (4) after the positioning guide wire (4) enters the osseous tissue region along the positioning guide wire (4) at one end of the expanding part (11);
The guide rod sleeve (1) is used for sleeving an expansion part (11) at one end of the guide rod sleeve outside the positioning guide wire (4) after the positioning guide wire (4) passes through the positioning needle tube (3) to reach the positioning point of the osseous tissue region for positioning, and enabling one end of the expansion part (11) to enter the osseous tissue region along the positioning guide wire (4);
The positioning guide rod (2) is used for penetrating one end of the expansion part (11) through the guide rod sleeve (1) to the positioning point after the one end of the expansion part enters the osseous tissue region along the positioning guide wire (4), and forming a positioning guide hole at the positioning point of the osseous tissue region through the bone hammer striking positioning guide rod (2);
The positioning guide rod (2) is also used for firstly enabling the positioning guide rod (2) with a pointed end to enter along the guide rod sleeve (1), knocking the positioning guide rod (2) by using a bone hammer to form a groove on bone, then replacing the positioning guide rod (2) with a blunt end to enable the blunt end to be positioned at the groove, and further enabling the bone hammer to continuously enter the vertebral canal by using the knocking positioning guide rod (2) of the bone hammer;
the positioning guide rod (2) comprises a rod body and a working drill bit (22), and the working drill bit (22) is detachably arranged at one end of the rod body.
2. Puncture positioning assembly according to claim 1, characterized by a positioning needle (3) for injecting also anesthetic into the osseous tissue area.
3. Puncture positioning assembly according to claim 1, characterized by a positioning guide (2) further for fixing the positioning guide (2) with the guide sleeve (1) before striking the positioning guide (2).
4. Puncture positioning assembly according to claim 1, characterized in that the outer diameter of the mounting (12) is larger than the outer diameter of the guide rod sleeve (1).
5. The puncture positioning assembly according to claim 1, characterized in that the outer wall of the mounting portion (12) is provided with external threads, the knocking portion (21) forms a sleeve structure at the outer periphery of the mounting portion (12), and the inner wall of the sleeve structure is provided with internal threads in threaded fit with the mounting portion (12).
6. The puncture positioning assembly of claim 1, wherein the bit portion has a triangular pointed configuration.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202210117652.8A CN114343802B (en) | 2022-02-08 | 2022-02-08 | Puncture positioning method and positioning assembly |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202210117652.8A CN114343802B (en) | 2022-02-08 | 2022-02-08 | Puncture positioning method and positioning assembly |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN114343802A CN114343802A (en) | 2022-04-15 |
| CN114343802B true CN114343802B (en) | 2024-07-16 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202210117652.8A Active CN114343802B (en) | 2022-02-08 | 2022-02-08 | Puncture positioning method and positioning assembly |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN114343802B (en) |
Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5423824A (en) * | 1992-03-23 | 1995-06-13 | Radi Medical Systems Ab | Method of accessing hard tissue |
| CN208958246U (en) * | 2018-07-05 | 2019-06-11 | 王艳波 | Trepan guider |
| CN219661842U (en) * | 2022-02-08 | 2023-09-12 | 宋国俊 | Puncture positioning dual-purpose guide rod sleeve and puncture positioning assembly |
Family Cites Families (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| GB2430396A (en) * | 2005-09-23 | 2007-03-28 | Thomas Hoogland | A surgical drill |
| US20080154304A1 (en) * | 2006-12-21 | 2008-06-26 | Arthrocare Corporation | System and method for accessing a tissue structure |
| CN105769308B (en) * | 2014-12-22 | 2019-03-01 | 北京思科微创医疗科技有限公司 | Lumbar intervertebral foramina enlargement shaper is supervised through belt nerve |
| CA3003306C (en) * | 2015-11-17 | 2019-04-16 | Lenkbar, Llc | Surgical tunneling instrument with expandable section |
| CN108606822A (en) * | 2018-07-06 | 2018-10-02 | 燕飞 | A kind of foramen intervertebrale lens puncture locator and its application method |
-
2022
- 2022-02-08 CN CN202210117652.8A patent/CN114343802B/en active Active
Patent Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5423824A (en) * | 1992-03-23 | 1995-06-13 | Radi Medical Systems Ab | Method of accessing hard tissue |
| CN208958246U (en) * | 2018-07-05 | 2019-06-11 | 王艳波 | Trepan guider |
| CN219661842U (en) * | 2022-02-08 | 2023-09-12 | 宋国俊 | Puncture positioning dual-purpose guide rod sleeve and puncture positioning assembly |
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| Publication number | Publication date |
|---|---|
| CN114343802A (en) | 2022-04-15 |
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