It is a kind of to be punctured for the puncture positioning device of 2 dorsal root ganglion radio frequency of neck and using it
The method of positioning
Technical field
The present invention relates to a kind of puncture positioning device for 2 dorsal root ganglion radio frequency of neck and utilize the side of its Needle localization
Method belongs to medical domain.
Background technique
Neck 2 dorsal root ganglion radio frequency is that Pain Management treatment a variety of causes causes neurogenic pain after pillow to have efficacious prescriptions
Method, 2 dorsal root ganglion of neck are atlas and axis lateral joint midpoint in the orthographic projection of body surface, are controlled carrying out radio frequency to 2 dorsal root ganglion of neck
During treatment, since 2 dorsal root ganglion of neck is close to canalis spinalis and vertebral artery, punctures the too deep and partially interior canalis spinalis that easily enters and damage ridge
It is marrow, partially outer easy damaged vertebral artery, on the upper side or on the lower side then far from 2 dorsal root ganglion of neck, cause puncture target spot very narrow at one
Safety zone in, which needs exactly accurate, and reduces the number of puncture to the greatest extent.X-ray is clinically generallyd use to be drawn
It leads, held fixed by doctor or is gripped using tools such as tweezers, using the body surface marking of 2 dorsal root ganglion of neck as puncture
Point is coaxially punctured by adjusting radio frequency puncture needle with x-ray, is coaxially particularly important in this process with fixation, therefore
The same axial adjustment of carry out repeatedly is needed, and then doctor and patient is made all to receive a large amount of ray, the hand of doctor can't be liberated.This
Outside, due to after neck skin and soft tissue it is relatively thin, paracentesis depth is shallower, it is therefore desirable to properly fixed.
Summary of the invention
The present invention passes through the 2 dorsal root ganglion radio frequency puncture positioning device of neck of new construction, coaxially adjusts carrying out needle body with x-ray
When whole, since cross pointer is in the projection of body surface, the irradiation number of x-ray be greatly decreased, solves the problems, such as above-mentioned.
The present invention provides a kind of puncture positioning device for 2 dorsal root ganglion radio frequency of neck, the puncture positioning devices
Be included in nonvisualized hemisphere shell sape locking member I under x-ray, under x-ray nonvisualized hemisphere shell sape locking member II, under x-ray not
The spherical direction regulating part of development, nonvisualized guide pin pipe, the pilot pin that can develop under x-ray under x-ray;The spherical shape direction
Regulating part is arranged in the spherical shell that hemisphere shell sape locking member I and hemisphere shell sape locking member II form;The hemisphere shell sape locking member I
Top be equipped with circular hole I;The spherical shape direction regulating part is equipped with through-hole along the direction of its diameter;The hemisphere shell sape locking member
II top is equipped with circular hole II, and the outer diameter of the diameter > guide pin pipe of diameter >=circular hole I of the circular hole II;The guide pin pipe
Lower end sequentially passes through circular hole I, through-hole and circular hole II, and the guide pin pipe is fixed on spherical direction regulating part;The pilot pin
Lower end insertion guide pin pipe in;After the hemisphere shell sape locking member II is fixed on neck;The pilot pin is adjusted in circular hole I to pre-
Spherical direction regulating part is clamped by positioning by hemisphere shell sape locking member I and hemisphere shell sape locking member II again after puncturing direction.
The present invention is preferably that the pilot pin includes needle body, pointer;The pointer is vertically fixed on the upper end of needle body;It is described
In the lower end insertion guide pin pipe of needle body.
The present invention is preferably that the pointer is criss-cross pointer;Pointer one end for the cross pointer is equipped with mark
Know I, another pointer one end of the cross pointer is equipped with the mark II different from I projection of shape of mark;The cross
The upper end of needle body is fixed at the right-angled intersection of pointer, and the needle body is perpendicular to the plane where cross pointer.
The present invention is preferably that the puncture positioning device is included in nonvisualized fixing piece under x-ray;The fixing piece it is upper
End is fixed on hemisphere shell sape locking member II, after the bottom end of the fixing piece is fixed on neck.
The present invention is preferably that the inner wall of the through-hole is equipped with I a of screw thread;The outer wall of the guide pin pipe is equipped with and I a of screw thread
I b of screw thread matched;The guide pin pipe is connected on the through-hole of spherical direction regulating part by I b of screw thread and I a of screw thread.
The present invention is preferably that the inner wall of I bottom surface of hemisphere shell sape locking member is equipped with II a of screw thread;The hemisphere shell sape lock
The outer wall of tight II bottom surface of part is equipped with II b of screw thread matched with II a of screw thread;The hemisphere shell sape locking member I and hemisphere shell sape
Spherical direction regulating part is clamped by II a of screw thread, II b of screw thread and is positioned by locking member II.
Another object of the present invention is a kind of Needle localization method using above-mentioned apparatus is provided, the method includes walking as follows
It is rapid: atlas and axis lateral joint orthographic projection is fixed on the skin after neck in fixing piece bottom end;Under x-ray, according to cross pointer
Needle body and the same axial adjustment of x-ray are carried out in the projection of body surface, keeps needle body coaxial with x-ray, then pass through hemisphere shell sape locking member I and hemisphere
Spherical direction regulating part is clamped and is positioned by hull shape locking member II;Pilot pin is extracted, radio frequency puncture needle is inserted into guide pin pipe, inserting needle
To predetermined position.
The invention has the following beneficial effects:
Needle body of the present invention passes through hemisphere shell sape locking member I and hemisphere shell sape locking member II when with x-ray with axial adjustment
Spherical direction regulating part is clamped and is positioned, needle body is fixed, hold fixed without doctor or is clamped using tools such as tweezers solid
It is fixed, the hand of doctor has not only been liberated, also doctor has been allowed no longer to receive ray;
Needle body of the present invention, by the directive property of cross pointer, greatly reduces needle body when with x-ray with axial adjustment
With x-ray with the difficulty of axial adjustment, the irradiation number of x-ray is reduced, reduces the ray reception amount of patient also greatly.
Detailed description of the invention
6 width of attached drawing of the present invention,
Fig. 1 is the structural schematic diagram described in embodiment 1 for the puncture positioning device of 2 dorsal root ganglion radio frequency of neck;
Fig. 2 is the structural schematic diagram of hemisphere shell sape locking member I described in embodiment 1;
Fig. 3 is the structural schematic diagram of hemisphere shell sape locking member II described in embodiment 1;
Fig. 4 is the structural schematic diagram of spherical shape direction regulating part described in embodiment 1;
Fig. 5 is the structural schematic diagram of guide pin pipe described in embodiment 1;
Fig. 6 is the structural schematic diagram of pilot pin described in embodiment 1;
Wherein, 1, hemisphere shell sape locking member I, 101, circular hole I, 2, hemisphere shell sape locking member II, 201, circular hole II, 3, spherical shape
Direction regulating part, 301, through-hole, 4, guide pin pipe, 5, pilot pin, 501, needle body, 502, cross pointer, 6, fixing piece.
Specific embodiment
Following non-limiting embodiments can with a person of ordinary skill in the art will more fully understand the present invention, but not with
Any mode limits the present invention.
Embodiment 1
A kind of puncture positioning device for 2 dorsal root ganglion radio frequency of neck, the puncture positioning device are included under x-ray not
The plastics hemisphere shell sape locking member I 1 of development, under x-ray nonvisualized plastics hemisphere shell sape locking member II 2, do not develop under x-ray
Plastic spherical direction regulating part 3, under x-ray nonvisualized plastics guide pin pipe 4, the lead pilot pin 5 that can develop under x-ray,
The nonvisualized plastic fixtures 6 under x-ray;
The ball that hemisphere shell sape locking member I 1 and hemisphere shell sape locking member II 2 form is arranged in spherical shape direction regulating part 3
In shell;
The top of the hemisphere shell sape locking member I 1 is equipped with circular hole I 101, the inner wall of I 1 bottom surface of hemisphere shell sape locking member
It is equipped with II a of screw thread;
Spherical shape direction regulating part 3 is equipped with through-hole 301 along the direction of its diameter, sets on the inner wall of the through-hole 301
There is I a of screw thread;
The top of the hemisphere shell sape locking member II 2 is equipped with circular hole II 201, and diameter >=circular hole I of the circular hole II 201
The outer diameter of 101 diameter > guide pin pipe 4, the outer wall of II 2 bottom surface of hemisphere shell sape locking member is equipped with to be matched with II a of screw thread
II b of screw thread;
The lower end of the guide pin pipe 4 sequentially passes through circular hole I 101, through-hole 301 and circular hole II 201, the guide pin pipe 4 it is outer
Wall is equipped with I b of screw thread matched with I a of screw thread, and the guide pin pipe 4 is connected to spherical direction by I b of screw thread and I a of screw thread
On the through-hole 301 of regulating part 3;
The upper end of the fixing piece 6 is fixed on hemisphere shell sape locking member II 2, and the bottom end of the fixing piece 6 is pasted onto neck
Afterwards;
The pilot pin 5 includes needle body 501, criss-cross pointer 502, a pointer one of the cross pointer 502
It is circular mark I that end, which is equipped with projection of shape, and it is four that another pointer one end of the cross pointer 502, which is equipped with projection of shape,
The mark II of side shape is fixed on the upper end of needle body 501 at the right-angled intersection of the cross pointer 502, and the needle body 501 hangs down
Directly in the plane where cross pointer 502;
In the lower end insertion guide pin pipe 4 of the needle body 501;
The pilot pin 5 is adjusted in circular hole I 101 to pre- puncture direction, the hemisphere shell sape locking member I 1 and hemisphere
Spherical direction regulating part 3 is clamped by II a of screw thread, II b of screw thread and is positioned by hull shape locking member II 2.
Embodiment 2
A kind of Needle localization method using 1 described device of embodiment, described method includes following steps:
6 bottom end of fixing piece is sticked at into atlas and axis lateral joint orthographic projection on the skin after neck;
Under x-ray, the projection according to cross pointer 502 in body surface carries out needle body 501 and the same axial adjustment of x-ray, makes needle body
501 is coaxial with x-ray, then clamps spherical direction regulating part 3 by hemisphere shell sape locking member I 1 and hemisphere shell sape locking member II 2 and determine
Position;
Pilot pin 5 is extracted, radio frequency puncture needle is inserted into guide pin pipe 4, inserting needle to predetermined position.