CN117496807A - High-simulation colonoscope training model - Google Patents
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- 238000012549 training Methods 0.000 title claims abstract description 48
- 238000004088 simulation Methods 0.000 title claims abstract description 26
- 208000037062 Polyps Diseases 0.000 claims abstract description 286
- 210000001072 colon Anatomy 0.000 claims abstract description 69
- 230000000968 intestinal effect Effects 0.000 claims abstract description 13
- 210000001731 descending colon Anatomy 0.000 claims description 15
- 210000001599 sigmoid colon Anatomy 0.000 claims description 15
- 210000003384 transverse colon Anatomy 0.000 claims description 15
- 210000001815 ascending colon Anatomy 0.000 claims description 14
- 210000004534 cecum Anatomy 0.000 claims description 10
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- 210000000664 rectum Anatomy 0.000 claims description 7
- 239000013013 elastic material Substances 0.000 claims description 3
- 238000005034 decoration Methods 0.000 claims 3
- 230000003902 lesion Effects 0.000 abstract description 24
- 238000002052 colonoscopy Methods 0.000 abstract description 21
- 238000003780 insertion Methods 0.000 description 11
- 230000037431 insertion Effects 0.000 description 11
- 239000000243 solution Substances 0.000 description 11
- 230000000877 morphologic effect Effects 0.000 description 8
- 229920001296 polysiloxane Polymers 0.000 description 8
- 210000000936 intestine Anatomy 0.000 description 7
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- 208000015768 polyposis Diseases 0.000 description 4
- 210000005070 sphincter Anatomy 0.000 description 4
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- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 3
- 230000000694 effects Effects 0.000 description 3
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- 210000000436 anus Anatomy 0.000 description 2
- 238000003748 differential diagnosis Methods 0.000 description 2
- 238000007689 inspection Methods 0.000 description 2
- 239000000314 lubricant Substances 0.000 description 2
- 210000004877 mucosa Anatomy 0.000 description 2
- 206010028980 Neoplasm Diseases 0.000 description 1
- 230000006978 adaptation Effects 0.000 description 1
- 210000002255 anal canal Anatomy 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
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- 210000003405 ileum Anatomy 0.000 description 1
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- 210000002429 large intestine Anatomy 0.000 description 1
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Abstract
本申请涉及一种高仿真结肠镜训练模型,涉及医学培训模型的领域,其包括结肠模型和可拆卸安装在结肠模型上的息肉模型;结肠模型上开设有安装息肉模型的息肉替换点,结肠模型的不同肠段上均设置息肉替换点;结肠模型周向上的多个不同位置均设置息肉替换点。本申请具有模拟多种息肉病变培训场景的作用,有助于结肠镜训练的高效进行。
This application relates to a high-simulation colonoscopy training model, which relates to the field of medical training models. It includes a colon model and a polyp model detachably installed on the colon model; the colon model is provided with a polyp replacement point for installing the polyp model, and the colon model Polyp replacement points are set on different intestinal segments; polyp replacement points are set at multiple different positions along the circumference of the colon model. This application has the function of simulating various polyp lesion training scenarios and is helpful for efficient colonoscopy training.
Description
技术领域Technical field
本申请涉及医学培训模型的领域,尤其是涉及一种高仿真结肠镜训练模型。The present application relates to the field of medical training models, and in particular, to a high-simulation colonoscopy training model.
背景技术Background technique
结肠镜检查是现如今应用最广泛也是最有效的一种息肉筛查手段,通过结肠镜能顺次地、清晰地观察肛管、直肠、乙状结肠、降结肠、横结肠、升结肠、回盲部以及回肠末端的黏膜状态。所用的仪器(结肠镜)是一根较长的电子肠镜,通过安装在肠镜前端的电子摄像头,将结肠黏膜的图像传输到电子计算机上进行处理,最后显示在监视器的屏幕上,通过屏幕,医生就可以观察到大肠黏膜的变化。比如有没有长息肉或者肿物。同时还可以通过结肠镜的器械通道,送入活检钳或者圈套器,进行钳取或圈套息肉组织,最后把息肉组织进行病理切片进一步检查。Colonoscopy is the most widely used and effective polyp screening method today. Colonoscopy can sequentially and clearly observe the anal canal, rectum, sigmoid colon, descending colon, transverse colon, ascending colon, ileocecal area and Mucosal status of the terminal ileum. The instrument used (colonoscope) is a long electronic colonoscope. Through the electronic camera installed on the front end of the colonoscope, the image of the colon mucosa is transmitted to the electronic computer for processing, and finally displayed on the monitor screen. Using the screen, doctors can observe changes in the mucosa of the large intestine. For example, whether there are polyps or tumors. At the same time, biopsy forceps or snares can also be sent through the instrument channel of the colonoscope to clamp or snare the polyp tissue, and finally the polyp tissue can be pathologically sectioned for further examination.
目前针对结肠镜检查培训主要采取三种方法:1.临床病人,即采用结肠镜在真实病人身上进行操作培训;2.硅胶模拟结肠模型,即采用软质硅胶制作的模拟结肠模型;3.猪肠模型,及对猪肠进行分离后获得完整的猪肠器官,可以在猪肠上进行模拟培训。Currently, there are three main methods for colonoscopy training: 1. Clinical patients, that is, colonoscopy is used for operational training on real patients; 2. Silicone simulated colon model, that is, a simulated colon model made of soft silicone; 3. Pig Intestinal model, and complete pig intestinal organs obtained after isolation of pig intestines, can be used for simulation training on pig intestines.
其中,1.采用临床病人培训,容易因为技能不熟练导致的手术并发症,产生医疗纠纷,同时不一定在确定的时间内能找到目标病患作为培训的病例,无法对培训进行提前规划,影响学习效率;2.硅胶模拟结肠模型,主要问题是目前硅胶模型仿真度不高,特别是针对息肉病变的模拟,无法模拟出各部位不同类型的息肉,从而难以进行息肉检查、鉴别、治疗、替换及测量等操作;3.猪肠模型的优点是肠的结构与人类非常相似,缺点是这种猪肠块没有针对性的病变,导致培训效果比较差。目前采用的三种结肠镜培训工具,主要存在实效性不强,仿真度不高的问题。Among them, 1. Using clinical patient training can easily lead to surgical complications and medical disputes due to unskilled skills. At the same time, the target patients may not be found within a certain time as training cases, and the training cannot be planned in advance, which affects Learning efficiency; 2. Silicone simulated colon model. The main problem is that the current silicone model is not very realistic, especially for the simulation of polyp lesions. It cannot simulate different types of polyps in various parts, making it difficult to inspect, identify, treat and replace polyps. and measurement and other operations; 3. The advantage of the pig intestine model is that the structure of the intestine is very similar to that of humans. The disadvantage is that this pig intestine block has no targeted lesions, resulting in poor training effects. The three currently used colonoscopy training tools mainly have problems of low effectiveness and low simulation.
针对上述所涉及的相关技术,市面上现有的结肠模型,只能进行培训进退镜,适合结肠镜培训入门操作,对于结肠息肉的检查、鉴别、治疗、替换及测量等操作难以满足要求。无法在结肠各部位进行息肉的检查、鉴别、治疗、替换及测量等操作。In view of the above-mentioned related technologies, the existing colon models on the market can only be used for training of advancing and retracting the scope, which is suitable for entry-level colonoscopy training. It is difficult to meet the requirements for the inspection, identification, treatment, replacement and measurement of colon polyps. Polyps cannot be inspected, identified, treated, replaced and measured in various parts of the colon.
发明人主要针对结肠镜下息肉检查、鉴别诊断以及治疗的手术技能操作培训需求,专门设计制作了一种针对结肠镜检查手术培训的操作模型。The inventor mainly designed and produced an operating model for colonoscopy surgical training mainly in response to the surgical skills training needs for polyp examination, differential diagnosis and treatment under colonoscopy.
发明内容Contents of the invention
为了提供一种能针对多部位不同类型的结肠息肉病变的手术培训要求设计制作仿真度高、可以反复训练的培训装置,本申请提供了一种高仿真结肠镜训练模型,具有可替换的息肉模块,能够在结肠模型的不同位置重复模拟不同的息肉病变,能够模拟多种病变培训场景,有助于结肠镜训练的高效进行。In order to provide a training device that can be designed and produced with high simulation degree and can be trained repeatedly according to the surgical training requirements of different types of colon polyp lesions in multiple locations, this application provides a high simulation colonoscopy training model with a replaceable polyp module. , can repeatedly simulate different polyp lesions in different positions of the colon model, and can simulate a variety of lesion training scenarios, which is helpful for efficient colonoscopy training.
本申请提供的一种高仿真结肠镜训练模型采用如下的技术方案:A high-simulation colonoscopy training model provided by this application adopts the following technical solution:
一种高仿真结肠镜训练模型,包括结肠模型和可拆卸安装在所述结肠模型上的息肉模型;所述结肠模型上开设有安装所述息肉模型的息肉替换点,所述结肠模型的不同肠段上均设置所述息肉替换点;所述结肠模型周向上的多个不同位置均设置所述息肉替换点。A high-simulation colonoscopy training model, including a colon model and a polyp model detachably installed on the colon model; the colon model is provided with a polyp replacement point for installing the polyp model, and different intestines of the colon model The polyp replacement points are provided on each segment; the polyp replacement points are provided at multiple different positions along the circumference of the colon model.
通过采用上述技术方案,实际操作中肠道内不同的息肉病变组织可以通过替换不同的息肉模型安装在结肠模型上来进行模拟,同时,将息肉模型安装到不同肠段、不同周向位置的息肉替换点处,可以模拟多部位不同类型的结肠息肉病变场景,还可以反复替换并重复操作息肉模型,可以满足在结肠各部位进行息肉的检查、鉴别、治疗、替换及测量等操作,模型仿真度高,更加符合结肠镜下息肉检查、鉴别诊断以及治疗的手术技能操作培训需求。在进行结肠镜下息肉检查前,可以通过各个息肉替换点向结肠模型内添加润滑剂,由于息肉替换点的位置各不相同,润滑剂可以以不同角度、不同位置添加入结肠模型内,这有助于对结肠模型内部的充分润滑,有利于培训过程中的进镜操作。By adopting the above technical solution, in actual operation, different polyp diseased tissues in the intestine can be simulated by replacing different polyp models and installing them on the colon model. At the same time, the polyp models can be installed at polyp replacement points in different intestinal segments and different circumferential positions. It can simulate different types of colon polyp lesions in multiple locations, and the polyp model can be replaced and operated repeatedly, which can meet the inspection, identification, treatment, replacement and measurement of polyps in various parts of the colon. The model has a high degree of simulation. It is more in line with the surgical skills training needs for polyp examination, differential diagnosis and treatment under colonoscopy. Before performing polyp examination under colonoscopy, lubricant can be added to the colon model through each polyp replacement point. Since the positions of the polyp replacement points are different, lubricant can be added to the colon model at different angles and positions. This has It helps to fully lubricate the interior of the colon model and facilitates the endoscopic operation during training.
可选的,所述结肠模型包括盲肠段、升结肠段、横结肠段、降结肠段、乙状结肠段和直肠段;所述盲肠段、升结肠段、横结肠段、降结肠段、乙状结肠段和直肠段上均设置一处息肉替换点。Optionally, the colon model includes a cecum segment, an ascending colon segment, a transverse colon segment, a descending colon segment, a sigmoid colon segment and a rectum segment; the cecum segment, ascending colon segment, transverse colon segment, descending colon segment, sigmoid colon segment and rectum segment A polyp replacement point is set up on both sides.
通过采用上述技术方案,在各肠段仅设置一处息肉替换点,是为了满足多部位病变模拟的情况下,简化模型复杂程度,提高模型仿真度。By adopting the above technical solution, only one polyp replacement point is set up in each intestinal segment in order to simplify the complexity of the model and improve the simulation degree of the model when simulating multiple lesions.
可选的,所述盲肠段、升结肠段、横结肠段、降结肠段、乙状结肠段和直肠段上的各息肉替换点周向位置均不重叠。Optionally, the circumferential positions of the polyp replacement points on the cecal segment, ascending colon segment, transverse colon segment, descending colon segment, sigmoid colon segment and rectal segment do not overlap.
通过采用上述技术方案,进一步补充息肉病变周向位置的多样性,提高模型的仿真度,丰富模型能够模拟的病变场景。By adopting the above technical solutions, we can further supplement the diversity of circumferential positions of polyp lesions, improve the simulation degree of the model, and enrich the lesion scenarios that the model can simulate.
可选的,所述息肉模型的材质为柔软弹性材料;所述息肉替换点包括设置在结肠模型外表面的安装孔和设置在结肠模型内表面的插装孔,安装孔与插装孔连通;所述息肉模型包括基底部、息肉部以及连接基底部和息肉部的连接部,基底部与安装孔插接配合,连接部与插装孔尺寸适配。Optionally, the polyp model is made of soft elastic material; the polyp replacement point includes a mounting hole provided on the outer surface of the colon model and an insertion hole provided on the inner surface of the colon model, and the installation hole is connected with the insertion hole; The polyp model includes a base part, a polyp part, and a connecting part connecting the base part and the polyp part. The base part is plug-fitted with the installation hole, and the connection part is adapted to the size of the insertion hole.
通过采用上述技术方案,将息肉模型插接安装在息肉点处,通过插接配合实现简单方便的可拆卸连接固定;息肉部为模拟病变的息肉,息肉部穿过插装孔在结肠模型的内壁表面形成病变组织,由于结肠模型本身为弹性材料,连接部和插装孔的尺寸适配能够很大程度消除连接部与结肠内壁的拼接痕迹,提高仿真度。By adopting the above technical solution, the polyp model is plugged and installed at the polyp point, and a simple and convenient detachable connection and fixation is achieved through plugging and fitting; the polyp part is a polyp that simulates a disease, and the polyp part passes through the insertion hole and is on the inner wall of the colon model Diseased tissue is formed on the surface. Since the colon model itself is made of elastic material, the size adaptation of the connecting part and the insertion hole can largely eliminate the splicing traces between the connecting part and the inner wall of the colon, improving the degree of simulation.
可选的,所述息肉模型包括超大息肉模型、大息肉模型、中息肉模型和小息肉模型,超大息肉模型的息肉部211尺寸大于20mm,大息肉模型的息肉尺寸大于10mm且小于等于20mm,中息肉模型的息肉尺寸大于5mm且小于等于10mm,小息肉模型的息肉尺寸小于等于5mm;大息肉模型、中息肉模型和小息肉模型的基底部和连接部尺寸均不相同且逐渐减小;超大息肉模型和大息肉模型的基底部和连接部尺寸相同;所述息肉替换点的尺寸对应所安装的息肉模型设置。Optionally, the polyp model includes an extra large polyp model, a large polyp model, a medium polyp model and a small polyp model. The polyp part 211 size of the extra large polyp model is greater than 20 mm, the polyp size of the large polyp model is greater than 10 mm and less than or equal to 20 mm. The polyp size of the polyp model is greater than 5 mm and less than or equal to 10 mm, and the polyp size of the small polyp model is less than or equal to 5 mm; the base and connection sizes of the large polyp model, medium polyp model and small polyp model are all different and gradually decrease; the size of the extra large polyp model is different The size of the base part and the connecting part of the model and the large polyp model are the same; the size of the polyp replacement point is set corresponding to the installed polyp model.
通过采用上述技术方案,总结分析临床经验,将常见大小的息肉进行分类,不同尺寸的息肉设置不同尺寸的基底部,可以使基底部和连接部的尺寸与息肉大小更为适配,这样可以使息肉模型与结肠模型的接合更加紧密,提高仿真度。By adopting the above technical solution and summarizing and analyzing clinical experience, polyps of common sizes are classified. Polyps of different sizes are provided with bases of different sizes, which can make the size of the base and the connecting part more suitable for the size of the polyps. This can make The polyp model and colon model are more closely connected to improve simulation.
可选的,所述直肠段和所述横结肠段上的息肉替换点为大于10mm的规格,所述升结肠段和所述乙状结肠段上的息肉替换点为5mm-10mm的规格,所述盲肠段和所述降结肠段上的息肉替换点为小于5mm的规格。Optionally, the polyp replacement points on the rectal segment and the transverse colon segment have a specification of greater than 10 mm, the polyp replacement points on the ascending colon segment and the sigmoid colon segment have a specification of 5 mm-10 mm, and the cecal segment And the polyp replacement point on the descending colon segment is less than 5 mm.
通过采用上述技术方案,不同规格的息肉替换点均衡分布在结肠模型的左半结肠和右半结肠上,能够较为充分的模拟不同的病变场景,且通过总结临床经验,在不同肠段设置常见规格的息肉替换点,实际操作培训效果更佳。By adopting the above technical solution, polyp replacement points of different specifications are evenly distributed on the left and right colon of the colon model, which can fully simulate different disease scenarios. By summarizing clinical experience, common specifications are set in different intestinal segments. Polyp replacement point, the actual operation training effect is better.
可选的,将各肠段的息肉替换点周向位置投影在一个结肠模型截面上,相邻两个息肉替换点与截面圆心组成的圆心角角度为45度-90度。Optionally, the circumferential position of the polyp replacement point of each intestinal segment is projected on a colon model cross-section, and the central angle between two adjacent polyp replacement points and the center of the cross-section is 45 degrees to 90 degrees.
通过采用上述技术方案,在有限数量的息肉替换点下,保障息肉替换点在周向上的均衡分布。在实际操作中,息肉病变可能出现在结肠周向上的任一位置;本申请对息肉替换点之间圆心角角度设置,可以在有限数量的息肉替换点下模拟明显不同位置的息肉病变,优化培训功能。By adopting the above technical solution, a balanced distribution of polyp replacement points in the circumferential direction is ensured with a limited number of polyp replacement points. In actual operations, polyp lesions may appear at any position along the circumference of the colon; this application sets the central angle between polyp replacement points, which can simulate polyp lesions in significantly different locations with a limited number of polyp replacement points, optimizing training. Function.
可选的,还包括插套在息肉模型露出端的装饰卡圈,所述装饰卡圈的外部轮廓均相同,所述装饰卡圈内侧插槽根据对应的息肉模型和息肉替换点设置多种尺寸。Optionally, it also includes a decorative clamp ring inserted into the exposed end of the polyp model. The outer contours of the decorative clamp rings are all the same. The inner slots of the decorative clamp ring are set in multiple sizes according to the corresponding polyp model and polyp replacement point.
通过采用上述技术方案,通过安装装饰卡圈,使安装了息肉模型的息肉替换点处外观一致,以免外观的差异影响操作者对息肉大小和类型的客观判断,优化训练模型的培训属性。By adopting the above technical solution and installing a decorative clamp ring, the appearance of the polyp replacement point where the polyp model is installed is consistent, so as to prevent the difference in appearance from affecting the operator's objective judgment of the size and type of the polyp, and to optimize the training attributes of the training model.
可选的,所述息肉模型根据息肉部的形状是否规则分为规则息肉型和不规则息肉型;按照巴黎分型,所述不规则息肉型的息肉形态学分型为0-Ⅰp(有蒂型),所述规则息肉型的息肉形态学分型包括0-Ⅰsp(亚蒂型)、0-Ⅰs(无蒂型)、0-Ⅱa(浅表隆起型)和0-Ⅱb(浅表平坦型)。Optionally, the polyp model is divided into regular polyp type and irregular polyp type according to whether the shape of the polyp part is regular; according to the Paris classification, the polyp morphological classification of the irregular polyp type is 0-Ip (pedunculated type). ), the polyp morphological classification of the regular polyp type includes 0-Ⅰsp (subpedunculated type), 0-Ⅰs (sessile type), 0-Ⅱa (superficial raised type) and 0-Ⅱb (superficial flat type) .
通过采用上述技术方案,完善息肉类型,丰富结肠模型能够模拟的病变场景。息肉形态学分型采用巴黎分型中的五类:0-Ⅰp(有蒂型)、0-Ⅰsp(亚蒂型)、0-Ⅰs(无蒂型)、0-Ⅱa(浅表隆起型)和0-Ⅱb(浅表平坦型),为了丰富息肉病变的种类,又不让息肉形态学分型复杂化,以便结肠镜初学者在较短的时间内掌握较全面的息肉病变,根据临床经验,不规则息肉型全部以0-Ⅰp(有蒂型)的类型呈现,规则息肉型以0-Ⅰsp(亚蒂型)、0-Ⅰs(无蒂型)、0-Ⅱa(浅表隆起型)和0-Ⅱb(浅表平坦型)四种类型呈现。By adopting the above technical solutions, the types of polyps are improved and the disease scenarios that can be simulated by the colon model are enriched. The morphological classification of polyps adopts the five categories in the Paris classification: 0-Ⅰp (pedunculated type), 0-Ⅰsp (subpedunculated type), 0-Ⅰs (sessile type), 0-Ⅱa (superficial raised type) and 0-Ⅱb (superficial flat type), in order to enrich the types of polyp lesions without complicating the morphological classification of polyps, so that beginners of colonoscopy can master more comprehensive polyp lesions in a shorter time. According to clinical experience, no All regular polyp types are presented as 0-Ⅰp (pedunculated type), and regular polyp types are presented as 0-Ⅰsp (subpedunculated type), 0-Ⅰs (sessile type), 0-Ⅱa (superficial raised type) and 0 -IIb (superficial flat type) appears in four types.
可选的,不规则息肉型和四类规则息肉型均对应设置有超大息肉模型、大息肉模型、中息肉模型和小息肉模型4种不同大小规格的息肉模型;0-Ⅱb(浅表平坦型)类的规则息肉型额外设置有大息肉模型、中息肉模型和小息肉模型且3种不同大小规格的种息肉模型。Optional, irregular polyp types and four types of regular polyp types are provided with four polyp models of different sizes: extra large polyp model, large polyp model, medium polyp model and small polyp model; 0-Ⅱb (superficial flat type) ) type of regular polyp type is additionally provided with large polyp model, medium polyp model and small polyp model, and there are three types of polyp models of different sizes.
通过采用上述技术方案,针对各类型息肉病变设置多种息肉模型,能够丰富模拟的息肉病变种类;0-Ⅱb(浅表平坦型)类息肉从外观上较难辨别为息肉病变,因此它除了可以作为息肉病变分辨外,还可以作为封堵件,额外设置一组大息肉模型、中息肉模型和小息肉模型的0-Ⅱb(浅表平坦型)类的规则息肉,可以将六个息肉替换点全部封堵,作为无息肉病变的常用模拟场景。By adopting the above technical solution, multiple polyp models are set up for various types of polyp lesions, which can enrich the types of simulated polyp lesions; 0-Ⅱb (superficial flat type) polyps are difficult to identify as polyp lesions in appearance, so in addition to In addition to identifying polyp lesions, it can also be used as a sealing component. An additional set of large polyp models, medium polyp models, and small polyp models of 0-Ⅱb (superficial flat type) regular polyps can be set up to replace six polyps. All are blocked, as a common simulated scenario without polyposis.
综上所述,本申请包括以下有益技术效果:To sum up, this application includes the following beneficial technical effects:
1.本申请公开了一种高仿真结肠镜训练模型,通过在结肠模型上安装可拆装的息肉模型,操作者可以根据需要灵活配置需要种类的息肉模型,同时可以将息肉模型安装在结肠模型长度方向上、周向上的不同位置,以模拟息肉病变位置的多样性,提高培训模型整体的仿真度;息肉替换点的设置还有助于对结肠模型内部的润滑;1. This application discloses a high-simulation colonoscopy training model. By installing a detachable polyp model on the colon model, the operator can flexibly configure the required types of polyp models as needed, and at the same time, the polyp model can be installed on the colon model. Different positions in the length direction and circumferential direction are used to simulate the diversity of polyp lesion locations and improve the overall simulation of the training model; the setting of polyp replacement points also helps to lubricate the interior of the colon model;
2.通过将息肉替换点的数量设置为6个且分布在各个肠段上,简化模型的同时,能够丰富模拟的病变场景;2. By setting the number of polyp replacement points to 6 and distributing them on each intestinal segment, the model can be simplified and the simulated lesion scenes can be enriched;
3.通过将息肉模型根据息肉大小5mm、10mm、20mm进行分类,一方面对应设置尺寸较为适配的息肉替换点和基底部尺寸,有助于提高模型仿真度,另一方面,是根据国内外顶刊报道和临床经验对息肉大小进行分类,方便根据培训需要灵活配置息肉模型。3. By classifying polyp models according to polyp sizes of 5mm, 10mm, and 20mm, on the one hand, correspondingly set polyp replacement points and base sizes with more suitable sizes will help improve the model simulation. On the other hand, according to domestic and foreign Top journal reports and clinical experience classify polyp sizes to facilitate flexible configuration of polyp models according to training needs.
附图说明Description of drawings
图1是本申请实施例中结肠模型的整体结构示意图;Figure 1 is a schematic diagram of the overall structure of the colon model in the embodiment of the present application;
图2是本申请实施例中息肉替换点处的结构示意图一;Figure 2 is a schematic structural diagram of the polyp replacement point in the embodiment of the present application;
图3是本申请实施例中息肉替换点处的结构示意图二;Figure 3 is a structural schematic diagram 2 of the polyp replacement point in the embodiment of the present application;
图4是本申请实施例中息肉替换点周向分布示意图;Figure 4 is a schematic diagram of the circumferential distribution of polyp replacement points in the embodiment of the present application;
图5是本申请实施例的整体结构示意图。Figure 5 is a schematic diagram of the overall structure of an embodiment of the present application.
附图说明:1、结肠模型;11、息肉替换点;111、安装孔;112、插套部;113、插装孔;12、盲肠段;13、升结肠段;14、横结肠段;15、降结肠段;16、乙状结肠段;17、直肠段;18、阑尾段;19、肛门段;2、息肉模型;21、替换部;211、息肉部;212、连接部;213、蒂部;22、基底部;221、柱身;222、盖板;223、凸缘;224、T形连接头;3、模拟括约肌;4、装饰卡圈;5、外壳;51、透明观察窗;52、固定卡圈。Description of the drawings: 1. Colon model; 11. Polyp replacement point; 111. Installation hole; 112. Insert sleeve part; 113. Insert hole; 12. Cecum segment; 13. Ascending colon segment; 14. Transverse colon segment; 15. Descending colon segment; 16. Sigmoid colon segment; 17. Rectum segment; 18. Appendiceal segment; 19. Anal segment; 2. Polyp model; 21. Replacement part; 211. Polyp part; 212. Connection part; 213. Pedicle part; 22 , Base part; 221. Column; 222. Cover plate; 223. Flange; 224. T-shaped connector; 3. Simulated sphincter; 4. Decorative clamp ring; 5. Shell; 51. Transparent observation window; 52. Fixed Collar.
具体实施方式Detailed ways
以下结合附图1-5对本申请作进一步详细说明。The present application will be further described in detail below in conjunction with Figures 1-5.
本申请实施例公开了一种高仿真结肠镜训练模型,参照图1和图2,包括结肠模型1和息肉模型2,息肉模型2可拆卸安装在所述结肠模型1上。The embodiment of the present application discloses a high-simulation colonoscopy training model. Referring to Figures 1 and 2, it includes a colon model 1 and a polyp model 2. The polyp model 2 is detachably installed on the colon model 1.
结肠模型1采用柔软的可形成褶皱的材料,如高性能硅胶;结肠模型1包括依次设置的阑尾段18、盲肠段12、升结肠段13、横结肠段14、降结肠段15、乙状结肠段16、直肠段17和肛门段19。盲肠段12、升结肠段13、横结肠段14、降结肠段15、乙状结肠段16和直肠段17上均设置有息肉替换点11。The colon model 1 is made of soft, foldable material, such as high-performance silicone; the colon model 1 includes an appendix segment 18, a cecum segment 12, an ascending colon segment 13, a transverse colon segment 14, a descending colon segment 15, a sigmoid colon segment 16, and Rectal segment 17 and anal segment 19. Polyp replacement points 11 are provided on the cecum segment 12, ascending colon segment 13, transverse colon segment 14, descending colon segment 15, sigmoid colon segment 16 and rectum segment 17.
肛门段19上安装有模拟括约肌3,模拟括约肌3为套设安装在肛门段19上的圆环状充气气囊,通过气囊的气压弹力模拟括约肌3的收缩力,提高模型的仿真度。The simulated sphincter 3 is installed on the anal segment 19. The simulated sphincter 3 is a circular inflatable air bag installed on the anal segment 19. The contraction force of the sphincter 3 is simulated through the air pressure elasticity of the air bag, thereby improving the simulation degree of the model.
参考图2和图3,结肠模型1上设置有多处可拆卸安装息肉模型2的息肉替换点11,息肉替换点11包括设置在结肠模型1外表面的安装孔111和设置在结肠模型1内表面的插装孔113,安装孔111与插装孔113连通;结肠模型1的外表面对应安装孔111轮廓向外延伸设置插套部112。息肉模型2包括基底部22、息肉部211以及连接基底部22和息肉部211的连接部212,当息肉模型的息肉形态学分型为0-Ⅰp(有蒂型)或0-Ⅰsp(亚蒂型)时,连接部212与息肉部211之间还设置有圆柱状的蒂部213。连接部212、蒂部213和息肉部211一体成型,但连接部212和蒂部213采用与结肠模型1相同的高性能硅胶材料(R2-0050),而息肉部211作为病变组织,采用颜色相对更深的高性能硅胶材料(R4-0030),两种硅胶材料通过双色注塑的方式一体成型。Referring to Figures 2 and 3, the colon model 1 is provided with multiple polyp replacement points 11 for detachably mounting the polyp model 2. The polyp replacement points 11 include installation holes 111 provided on the outer surface of the colon model 1 and disposed inside the colon model 1. There is an insertion hole 113 on the surface, and the mounting hole 111 is connected with the insertion hole 113; the outer surface of the colon model 1 is provided with an insertion sleeve portion 112 extending outward corresponding to the outline of the mounting hole 111. The polyp model 2 includes a base 22, a polyp part 211, and a connecting part 212 connecting the base 22 and the polyp part 211. When the polyp morphological classification of the polyp model is 0-Ⅰp (pedunculated type) or 0-Ⅰsp (sub-pedunculated type) ), a cylindrical pedicle 213 is also provided between the connecting part 212 and the polyp part 211. The connection part 212, the pedicle part 213 and the polyp part 211 are formed in one piece, but the connection part 212 and the pedicle part 213 are made of the same high-performance silicone material (R2-0050) as the colon model 1, while the polyp part 211 is a diseased tissue and is made of contrasting colors. Deeper high-performance silicone material (R4-0030), two silicone materials are integrated through two-color injection molding.
基底部22与安装孔111插接配合,蒂部213与插装孔113尺寸适配;基底部22为塑料材质,连接部212可拆卸安装在基底部上。The base portion 22 is plug-fitted with the installation hole 111, and the pedicle portion 213 matches the size of the insertion hole 113; the base portion 22 is made of plastic material, and the connecting portion 212 is detachably installed on the base portion.
基底部22包括与插套部112端面抵接的盖板222、与插套部112内壁卡接的凸缘223以及连接盖板222和凸缘223的柱身221,盖板222、凸缘223和柱身221一体设置。基底部22插接固定在息肉替换点11处的插套部112中,通过插拔的方式拆装整个息肉模型2。The base portion 22 includes a cover plate 222 that is in contact with the end surface of the plug sleeve portion 112 , a flange 223 that is engaged with the inner wall of the plug sleeve portion 112 , and a column 221 that connects the cover plate 222 and the flange 223 . The cover plate 222 and the flange 223 It is integrated with the column body 221. The base part 22 is plugged and fixed into the plug sleeve part 112 at the polyp replacement point 11, and the entire polyp model 2 can be disassembled and assembled by plugging and unplugging.
柱身221靠近替换部21的一端设置有T形连接头224,连接部212上对应T形连接头224对应设置有T形卡槽。息肉部211、蒂部213和连接部212组成可拆卸安装在基底部22上的替换部21。A T-shaped connector 224 is provided at one end of the column 221 close to the replacement part 21 , and a T-shaped slot is provided on the connecting part 212 corresponding to the T-shaped connector 224 . The polyp part 211, the pedicle part 213 and the connecting part 212 form a replacement part 21 that can be detachably installed on the base part 22.
参考图1,息肉模型2包括超大息肉模型、大息肉模型、中息肉模型和小息肉模型,超大息肉模型的息肉部211尺寸大于20mm,大息肉模型的息肉尺寸大于10mm且小于等于20mm,中息肉模型的息肉尺寸大于5mm且小于等于10mm,小息肉模型的息肉尺寸小于等于5mm;大息肉模型、中息肉模型和小息肉模型的基底部22和连接部212尺寸均不相同且逐渐减小;超大息肉模型和大息肉模型的基底部22和连接部212尺寸相同;息肉替换点11的尺寸对应所安装的息肉模型2设置。Referring to Figure 1, the polyp model 2 includes an extra large polyp model, a large polyp model, a medium polyp model and a small polyp model. The polyp part 211 size of the extra large polyp model is greater than 20 mm, the polyp size of the large polyp model is greater than 10 mm and less than or equal to 20 mm, and the medium polyp model The polyp size of the model is greater than 5 mm and less than or equal to 10 mm, and the polyp size of the small polyp model is less than or equal to 5 mm; the sizes of the base 22 and the connecting portion 212 of the large polyp model, the medium polyp model and the small polyp model are all different and gradually decrease; The sizes of the base portion 22 and the connecting portion 212 of the polyp model and the large polyp model are the same; the size of the polyp replacement point 11 is set corresponding to the installed polyp model 2 .
参考图1,直肠段17和横结肠段14上的息肉替换点11为大于10mm的规格,升结肠段13和乙状结肠段16上的息肉替换点11为5mm-10mm的规格,盲肠段12和降结肠段15上的息肉替换点为小于5mm的规格。Referring to Figure 1, the polyp replacement points 11 on the rectal segment 17 and the transverse colon segment 14 are larger than 10 mm, the polyp replacement points 11 on the ascending colon segment 13 and the sigmoid colon segment 16 are 5 mm-10 mm in size, the cecal segment 12 and the descending colon are The polyp replacement point on segment 15 is smaller than 5 mm.
参考图4,将各肠段上息肉替换点11的周向位置投影在一个结肠模型的圆截面上,相邻两个息肉替换点11与截面圆心组成的圆心角角度为45度-90度。本实施例中,各肠段的息肉替换点11在结肠模型1周向上以时钟为参考的周向分布为:盲肠段12的息肉替换点11位于1至2点钟中间的方位,升结肠段13的息肉替换点11位于3点钟方位,横结肠段14的息肉替换点11位于6点钟方位,直肠段17的息肉替换点11位于7至8点钟中间方位,乙状结肠段16的息肉替换点11位于9点钟方位,降结肠段15的息肉替换点11位于12点钟方位。盲肠段12、升结肠段13、横结肠段14、降结肠段15、乙状结肠段16和直肠段17上的息肉替换点呈中心对称分布。Referring to Figure 4, the circumferential position of the polyp replacement point 11 on each intestinal segment is projected on the circular cross-section of a colon model. The central angle between two adjacent polyp replacement points 11 and the center of the cross-section circle is 45 degrees to 90 degrees. In this embodiment, the circumferential distribution of the polyp replacement points 11 of each intestinal segment in the 1-circumferential direction of the colon model with the clock as a reference is: the polyp replacement points 11 of the cecal segment 12 are located in the middle of 1 to 2 o'clock, The polyp replacement point 11 of 13 is located at 3 o'clock, the polyp replacement point 11 of transverse colon segment 14 is located at 6 o'clock, the polyp replacement point 11 of rectal segment 17 is located between 7 and 8 o'clock, and the polyp replacement point 11 of sigmoid colon segment 16 is located at 6 o'clock. 11 is located at the 9 o'clock position, and the polyp replacement point 11 of the descending colon segment 15 is located at the 12 o'clock position. The polyp replacement points on the cecum segment 12, ascending colon segment 13, transverse colon segment 14, descending colon segment 15, sigmoid colon segment 16 and rectum segment 17 are centrally symmetrically distributed.
参考图2和图3,还包括装饰卡圈4,装饰卡圈4对应息肉替换点11设置多个,装饰卡圈4的外轮廓均相同,装饰卡圈4插套安装在对应的息肉替换点11的插套部112上,使多处息肉替换点11的外观一致。装饰卡圈4内侧插槽根据对应的息肉替换点11的插套部112设置成多种尺寸。Referring to Figures 2 and 3, it also includes decorative clamp rings 4. There are multiple decorative clamp rings 4 corresponding to the polyp replacement points 11. The outer contours of the decorative clamp rings 4 are all the same. The decorative clamp rings 4 are inserted into sleeves and installed at the corresponding polyp replacement points. On the insertion sleeve part 112 of the polyp 11, the appearance of multiple polyp replacement points 11 is consistent. The inner slot of the decorative collar 4 is provided in various sizes according to the insertion sleeve portion 112 of the corresponding polyp replacement point 11 .
息肉模型2根据息肉部211的形状是否规则分为规则息肉型和不规则息肉型;息肉形态学分型采用巴黎分型中的五类:0-Ⅰp(有蒂型)、0-Ⅰsp(亚蒂型)、0-Ⅰs(无蒂型)、0-Ⅱa(浅表隆起型)和0-Ⅱb(浅表平坦型);不规则息肉型的息肉形态学分型均为0-Ⅰp(有蒂型);规则息肉型的息肉形态学分型包括0-Ⅰsp(亚蒂型)、0-Ⅰs(无蒂型)、0-Ⅱa(浅表隆起型)和0-Ⅱb(浅表平坦型)。不规则息肉型和四类规则息肉型均对应设置有超大息肉模型、大息肉模型、中息肉模型和小息肉模型4种不同大小规格的息肉模型;0-Ⅱb(浅表平坦型)类的规则息肉型额外设置有大息肉模型、中息肉模型和小息肉模型且3种不同大小规格的种息肉模型;0-Ⅱb(浅表平坦型)类的规则息肉的息肉大小均不同且从外观上较难辨别为息肉病变,从而可以丰富息肉的大小种类和作为无息肉病变的常用模拟场景。具体参见下表。The polyp model 2 is divided into regular polyp type and irregular polyp type according to whether the shape of the polyp part 211 is regular or not; polyp morphological classification adopts the five categories in the Paris classification: 0-Ⅰp (pedunculated type), 0-Ⅰsp (sub-pedunculated type) type), 0-Ⅰs (sessile type), 0-Ⅱa (superficial raised type) and 0-Ⅱb (superficial flat type); the polyp morphological classification of irregular polyp types is 0-Ⅰp (pedunculated type) ); The polyp morphological classification of regular polyps includes 0-Ⅰsp (subpedunculated type), 0-Ⅰs (sessile type), 0-Ⅱa (superficial raised type) and 0-Ⅱb (superficial flat type). Irregular polyp types and the four types of regular polyp types correspond to four polyp models of different sizes: extra large polyp model, large polyp model, medium polyp model and small polyp model; rules for categories 0-Ⅱb (superficial flat type) Polyp type additionally includes large polyp model, medium polyp model and small polyp model, and three types of polyp models of different sizes; 0-Ⅱb (superficial flat type) regular polyps have different polyp sizes and are smaller in appearance. Difficult to identify as polyp lesions, which can enrich the size of polyps and serve as a common simulation scenario for polyp-free lesions. See the table below for details.
参考图5,还包括外壳5和固定卡圈52,外壳5为模仿人体的腔体结构,结肠模型1安装在外壳5内,结肠模型1的肛门位置固定有连接板,肛门贯穿外壳5的侧壁并通过连接板固定位置,连接板通过粘贴带可拆卸安装在外壳5上。固定卡圈52用弹簧圈和粘贴带可拆卸固定在外壳5内,固定卡圈52为横跨在结肠模型1上的卡箍件;固定卡圈52沿结肠模型1的长度方向设置多个以便定形结肠模型1的整体轮廓;外壳5上设置有透明观察窗51,透明观察窗51为塑料材质,透明观察窗51与外壳5通过卡扣结构可拆卸固定,需要更换、维护结肠模型1时,将透明观察窗51取下进行结肠模型1的拆除。Referring to Figure 5, it also includes a shell 5 and a fixed collar 52. The shell 5 is a cavity structure that imitates the human body. The colon model 1 is installed in the shell 5. The anus of the colon model 1 is fixed with a connecting plate, and the anus penetrates the side of the shell 5. The wall is fixed in position through a connecting plate, which is detachably mounted on the housing 5 through an adhesive tape. The fixed clamp ring 52 is detachably fixed in the housing 5 with a spring ring and an adhesive tape. The fixed clamp ring 52 is a clamp piece spanning the colon model 1; multiple fixed clamp rings 52 are provided along the length direction of the colon model 1 to facilitate The overall outline of the colon model 1 is shaped; a transparent observation window 51 is provided on the outer shell 5. The transparent observation window 51 is made of plastic. The transparent observation window 51 and the outer shell 5 are detachably fixed through a buckle structure. When the colon model 1 needs to be replaced or maintained, The transparent observation window 51 is removed to dismantle the colon model 1 .
本申请实施例公开的一种高仿真结肠镜训练模型的实施原理为:通过在结肠模型1上设置息肉替换点11,并在息肉替换点11上可拆卸安装息肉模型2,以便在结肠模型1中模拟不同类型的结肠息肉病变;在结肠模型1的不同肠段上均设置息肉替换点11,以便针对多部位不同类型的结肠息肉病变进行模拟,进一步提高仿真度;息肉模型2可以通过插拔的方式进行更换,满足了培训模型重复使用的需求。The implementation principle of a high-simulation colonoscopy training model disclosed in the embodiment of the present application is as follows: by setting a polyp replacement point 11 on the colon model 1, and detachably installing the polyp model 2 on the polyp replacement point 11, so that the colon model 1 Different types of colon polyp lesions are simulated in the model; polyp replacement points 11 are set on different intestinal segments of the colon model 1 to simulate different types of colon polyp lesions at multiple locations to further improve the simulation; the polyp model 2 can be plugged and unplugged The replacement method satisfies the need for repeated use of the training model.
以上均为本申请的较佳实施例,并非依此限制本申请的保护范围,故:凡依本申请的结构、形状、原理所做的等效变化,均应涵盖于本申请的保护范围之内。The above are all preferred embodiments of the present application, and are not intended to limit the scope of protection of the present application. Therefore, any equivalent changes made based on the structure, shape, and principle of the present application shall be covered by the scope of protection of the present application. Inside.
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CN221327229U (en) * | 2023-09-26 | 2024-07-12 | 中国人民解放军海军军医大学第一附属医院 | Colonoscope training model capable of replacing polyp |
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JP3197290U (en) * | 2015-02-18 | 2015-04-30 | 株式会社高研 | High-frequency female treatment practice model |
WO2020240884A1 (en) * | 2019-05-30 | 2020-12-03 | 株式会社Micotoテクノロジー | Medical simulator and method for evaluating procedure using medical simulator |
CN212484643U (en) * | 2020-07-20 | 2021-02-05 | 金峰 | Enteroscopy simulation model |
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