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CN111437523A - Position fixing device for radiotherapy of rectal cancer patient - Google Patents

Position fixing device for radiotherapy of rectal cancer patient Download PDF

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Publication number
CN111437523A
CN111437523A CN202010387618.3A CN202010387618A CN111437523A CN 111437523 A CN111437523 A CN 111437523A CN 202010387618 A CN202010387618 A CN 202010387618A CN 111437523 A CN111437523 A CN 111437523A
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patient
radiotherapy
headrest
prone
rectal cancer
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白雪
王彬冰
张婕
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Zhejiang Cancer Hospital
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Zhejiang Cancer Hospital
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/10X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/10X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N2005/1092Details
    • A61N2005/1097Means for immobilizing the patient

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  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Pathology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Life Sciences & Earth Sciences (AREA)
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  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
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Abstract

本发明提供一种对直肠癌患者行放射治疗的体位固定装置,主要由身体托板、俯卧头枕和握杆组成,俯卧头枕设和握杆设在身体托板上段。头枕的位置可根据患者身高进行调整和固定,和现有无头枕和抓手的定位装置相比,可更好地固定患者体位,减少放射治疗的误差。本发明的体位固定装置采用俯卧式设计,直肠癌患者在行放射治疗时俯卧在身体托板上,头部自然置于俯卧头枕上,手臂自然抓握于握杆,保持脊柱中轴的中立位,不会发生背部扭转的现象。患者的腹部位于固定架镂空处自然下垂,从而使小肠和膀胱远离直肠靶区,减少正常组织的照射量。本发明可保证每次放射治疗时患者体位高度一致,并提高患者的舒适度,保证治疗过程中患者体位的稳定。

Figure 202010387618

The invention provides a body position fixing device for radiotherapy for rectal cancer patients, which is mainly composed of a body support plate, a prone headrest and a grip rod. The position of the headrest can be adjusted and fixed according to the height of the patient. Compared with the existing positioning device without a headrest and a gripper, the position of the patient can be fixed better and the error of radiotherapy can be reduced. The body position fixing device of the present invention adopts the prone design, and the patient with rectal cancer lies prone on the body support plate during radiotherapy, the head is naturally placed on the prone headrest, the arms are naturally grasped on the grip rod, and the neutral position of the central axis of the spine is maintained. , the phenomenon of back torsion does not occur. The patient's abdomen is located in the hollow of the fixation frame and sags naturally, thereby keeping the small intestine and bladder away from the rectal target area and reducing the exposure to normal tissues. The invention can ensure that the patient's body position is highly consistent during each radiation therapy, improve the comfort of the patient, and ensure the stability of the patient's body position during the treatment process.

Figure 202010387618

Description

一种对直肠癌患者行放射治疗的体位固定装置A postural fixation device for radiotherapy for patients with rectal cancer

技术领域technical field

本发明属于医疗器械领域,涉及医用体位固定装置,尤其涉及一种对直肠癌患者行放射治疗的体位固定装置。The invention belongs to the field of medical devices and relates to a medical body position fixing device, in particular to a body position fixing device for performing radiation therapy on rectal cancer patients.

背景技术Background technique

近年来接受放射治疗的直肠癌患者数量在逐步增加。在放射治疗中,利用X射线对肿瘤部位进行多次照射,需要使患者在治疗床上保持固定的、可重复的体位。In recent years, the number of rectal cancer patients receiving radiation therapy has gradually increased. In radiation therapy, X-rays are used to irradiate the tumor site multiple times, requiring the patient to maintain a fixed, repeatable position on the treatment couch.

在直肠癌的放射治疗中,为保护小肠,目前通常采用中空的直肠专用固定架作为体位固定装置。使用该装置时,患者俯卧于装置上,将腹部置于固定架镂空处,头偏向一侧放于装置前端,手臂环抱在头部顶端。此装置只能对患者的腰腹部进行固定,无法对患者的头背部和上肢进行固定。因此患者在每次治疗时,头部的偏转角度,背部的弯曲程度和手臂的摆放位置差异较大,很容易引起摆位误差。另外,由于在治疗过程中患者头部始终保持偏转,舒适度欠佳,容易引起治疗过程中患者的体位发生变化。In the radiation therapy of rectal cancer, in order to protect the small intestine, a hollow rectal special fixation frame is usually used as a postural fixation device at present. When using the device, the patient lies prone on the device, the abdomen is placed in the hollow of the fixing frame, the head is turned to one side and the front end of the device is placed, and the arms are wrapped around the top of the head. This device can only fix the patient's waist and abdomen, but cannot fix the patient's head, back and upper limbs. Therefore, during each treatment, the deflection angle of the head, the bending degree of the back and the placement of the arms are quite different, which can easily cause placement errors. In addition, since the patient's head is always deflected during the treatment process, the comfort is not good, and it is easy to cause the patient's body position to change during the treatment process.

发明内容SUMMARY OF THE INVENTION

本发明的目的是提供一种对直肠癌患者行放射治疗的体位固定装置,主要由身体托板、俯卧头枕、握杆组成,身体托板一端为U形凹缺,握杆垂直安装在U形凹缺的两端头,供患者俯卧时双手扶握,在U形凹缺的内边缘设有卡槽,在身体托板的U形凹缺上面设有头部刻度,以便和患者皮肤上的标记线对齐并记录。身体托板的另一端设有个腿托,腿托形状与腿部曲度形状相适,身体托板中间段设有椭圆形弧面凹槽,椭圆形弧面凹槽与人体腹部曲度相适,在弧面凹槽中靠近腿托设有的方形腹孔,方形腹孔穿透身体托板,在身体托板侧面设有放疗刻度。The purpose of the present invention is to provide a body position fixing device for radiotherapy of rectal cancer patients, which is mainly composed of a body support plate, a prone headrest, and a grip rod. The two ends of the U-shaped recess are for the patient to hold with both hands when they are prone. There are clip grooves on the inner edge of the U-shaped recess, and a head scale is provided on the U-shaped recess of the body support, so as to be consistent with the patient's skin. line and record. The other end of the body support plate is provided with a leg support, the shape of the leg support is suitable for the curvature of the leg, the middle section of the body support plate is provided with an oval arc groove, and the oval arc groove is in line with the curvature of the human abdomen. Suitable, a square abdominal hole is arranged in the arc groove near the leg support, the square abdominal hole penetrates the body support plate, and a radiotherapy scale is arranged on the side of the body support plate.

俯卧头枕为一侧开有缺口的正方形,设有个支脚,中间开有头垫脸孔,供俯卧时方便患者透气,在个支脚的底部设有卡槽齿,卡槽齿与卡槽相适,俯卧头枕可在身体托板的U形凹缺内前后滑移,将俯卧头枕的缺口端插入身体托板的U形凹缺,通过卡槽齿与卡槽9将俯卧头枕与身体托板固定,不会随意滑动,在俯卧头枕的一个角设有指示箭头,可根据患者身高调整头枕的位置并记录,以便在多次治疗中保持同一固定的位置。卡槽和卡槽齿均为锯齿形。The prone headrest is a square with a gap on one side, with a support foot, and a head pad face hole in the middle, which is convenient for the patient to breathe when lying prone. Suitable, the prone headrest can slide back and forth in the U-shaped recess of the body support, insert the notch end of the prone headrest into the U-shaped recess of the body support, and connect the prone headrest to the U-shaped recess through the slot teeth and slot 9. The body support plate is fixed and will not slide freely. There is an indicator arrow at one corner of the prone headrest, which can be adjusted and recorded according to the height of the patient, so as to maintain the same fixed position in multiple treatments. Both the card slot and the card slot teeth are serrated.

在头垫脸孔上铺设有一圈软垫,提高患者的舒适度。A circle of soft pads is laid on the face of the head pad to improve the comfort of the patient.

本发明采用俯卧式设计,为患者的头部和手臂分别设置了俯卧头枕和握杆,从而得到一种针对直肠癌患者设计的重复摆位精度更高,舒适度更高的体位固定装置。通过2个刻度标记同一患者的固定位置,以保证放疗的精准。The present invention adopts a prone design, and a prone headrest and a grip bar are respectively provided for the patient's head and arms, thereby obtaining a body position fixing device designed for rectal cancer patients with higher repeated positioning accuracy and higher comfort. The fixed position of the same patient is marked by 2 scales to ensure the precision of radiotherapy.

本发明和现有技术相比,增加了一个可调整的头枕和抓手,使得直肠癌放疗患者舒适度增加。由于头枕的位置可以根据患者身高进行调整和固定,和现有无头枕和抓手的定位装置相比,可以更好地固定患者体位,减少放射治疗的误差。本发明的体位固定装置采用俯卧式设计,直肠癌患者在行放射治疗时俯卧在身体托板上,头部自然置于头垫上,手臂自然抓握于握杆,保持脊柱中轴的中立位,不会发生背部扭转的现象。患者的腹部位于固定架镂空处自然下垂,从而使小肠和膀胱远离直肠靶区,减少正常组织的照射量。本发明可保证每次放射治疗时患者体位高度一致,并提高患者的舒适度,保证治疗过程中患者体位的稳定。Compared with the prior art, the present invention adds an adjustable headrest and a grip, so that the comfort of patients undergoing radiotherapy for rectal cancer is increased. Since the position of the headrest can be adjusted and fixed according to the height of the patient, compared with the existing positioning device without the headrest and the gripper, the position of the patient can be better fixed, and the error of radiotherapy can be reduced. The body position fixing device of the present invention adopts a prone design, and a patient with rectal cancer is prone to lie on the body support plate during radiotherapy, the head is naturally placed on the head pad, the arms are naturally grasped on the grip rod, and the neutral position of the central axis of the spine is maintained. The phenomenon of back twisting does not occur. The patient's abdomen sags naturally at the hollow of the fixation frame, thereby keeping the small intestine and bladder away from the rectal target area and reducing the exposure to normal tissues. The invention can ensure that the patient's body position is highly consistent during each radiation therapy, improve the comfort of the patient, and ensure the stability of the patient's body position during the treatment process.

附图说明Description of drawings

图1是本发明整体结构示意图。Figure 1 is a schematic diagram of the overall structure of the present invention.

图2是身体托板结构示意图。Figure 2 is a schematic diagram of the structure of the body support plate.

图3是头枕结构示意图。Figure 3 is a schematic diagram of the structure of the headrest.

具体实施方式Detailed ways

本发明结合附图和实施例作进一步的说明。The present invention will be further described with reference to the accompanying drawings and embodiments.

实施例1Example 1

参见图1-3,一种对直肠癌患者行放射治疗的体位固定装置,主要由身体托板1、俯卧头枕2、握杆3组成,身体托板1一端为U形凹缺,握杆3垂直安装在U形凹缺的两端头,供患者俯卧时双手扶握,在U形凹缺的内边缘设有卡槽9,在身体托板1的U形凹缺上面设有头部刻度8,以便和患者皮肤上的标记线对齐并记录。身体托板1的另一端设有2个腿托6,腿托6形状与腿部曲度形状相适,身体托板1中间段设有椭圆形弧面凹槽4,椭圆形弧面凹槽4与人体腹部曲度相适,在弧面凹槽4中靠近腿托6设有的方形腹孔5,方形腹孔5穿透身体托板1,在身体托板1侧面设有放疗刻度7。Referring to Figure 1-3, a postural fixation device for radiotherapy of rectal cancer patients is mainly composed of a body support 1, a prone headrest 2, and a grip 3. One end of the body support 1 is a U-shaped recess, and the grip is 3. Vertically installed on both ends of the U-shaped recess, for the patient to hold with both hands when prone Scale 8 to align and record with the markings on the patient's skin. The other end of the body support plate 1 is provided with 2 leg supports 6, the shape of the leg supports 6 is suitable for the curvature shape of the legs, the middle section of the body support plate 1 is provided with an oval arc groove 4, and the oval arc groove 4. It is suitable for the curvature of the human body's abdomen, and is provided with a square abdominal hole 5 in the arc groove 4 near the leg support 6. The square abdominal hole 5 penetrates the body support plate 1, and a radiotherapy scale 7 is arranged on the side of the body support plate 1. .

俯卧头枕2为一侧开有缺口的正方形,设有4个支脚,中间开有头垫脸孔10,供俯卧时方便患者透气,在4个支脚的底部设有卡槽齿12,卡槽齿12与卡槽9相适,俯卧头枕2可在身体托板1的U形凹缺内前后滑移,将俯卧头枕2的缺口端插入身体托板1的U形凹缺,通过卡槽齿12与卡槽9将俯卧头枕2与身体托板1固定,不会随意滑动,在俯卧头枕2的一个角设有指示箭头11,可根据患者身高调整头枕的位置并记录,以便在多次治疗中保持同一固定的位置。卡槽9和卡槽齿12均为锯齿形。The prone headrest 2 is a square with a gap on one side, and is provided with 4 feet, with a head pad face hole 10 in the middle, which is convenient for the patient to breathe when lying prone. The teeth 12 are compatible with the card slot 9, the prone headrest 2 can slide back and forth in the U-shaped recess of the body support plate 1, insert the notch end of the prone headrest 2 into the U-shaped recess of the body support plate 1, The grooves 12 and the card slots 9 fix the prone headrest 2 and the body support 1, and will not slide freely. There is an indicator arrow 11 at one corner of the prone headrest 2, and the position of the headrest can be adjusted and recorded according to the height of the patient. in order to maintain the same fixed position during multiple treatments. Both the card slot 9 and the card slot teeth 12 are serrated.

在头垫脸孔10上铺设有一圈软垫,提高患者的舒适度。A circle of soft pads is laid on the face hole 10 of the head pad to improve the comfort of the patient.

实施例2Example 2

患者在首次定位CT扫描时,俯卧于身体托板1上,将腹部置于弧面凹槽4中,下腹部自然下垂置于方形腹孔5中,双腿置于腿托6处,双手握住固定握杆3,根据身高调整俯卧头枕2置舒适位置,将脸部放入头垫脸孔10,并根据俯卧头枕2上指示箭头11对准的头部刻度8记录适合的位置刻度,方便同一患者再次放疗时准确对位。患者躺好后,在皮肤上对应的放疗靶区中心的位置处粘贴定位标记,并在放疗刻度7处记录标记线对应的坐标。During the first positioning CT scan, the patient lies prone on the body support 1, the abdomen is placed in the arc groove 4, the lower abdomen is placed in the square abdominal hole 5, the legs are placed on the leg support 6, and the hands are held together. Hold the fixed grip bar 3, adjust the prone headrest 2 to a comfortable position according to your height, put your face into the face 10 of the headpad, and record the appropriate position scale according to the head scale 8 aligned with the arrow 11 on the prone headrest 2 , to facilitate accurate alignment of the same patient during re-radiotherapy. After the patient is lying down, stick a positioning mark on the center of the corresponding radiotherapy target area on the skin, and record the coordinates corresponding to the marked line at 7 of the radiotherapy scale.

同一患者的每一次实施放疗时,根据记录的头枕位置重复以上步骤,确保患者的重复摆位精度满足放疗要求。The above steps are repeated according to the recorded headrest position for each radiotherapy of the same patient to ensure that the repeated positioning accuracy of the patient meets the requirements of radiotherapy.

本发明和现有技术相比,增加了一个可调整的头枕和抓手,使得直肠癌放疗患者舒适度增加。由于头枕的位置可以根据患者身高进行调整和固定,和现有无头枕和抓手的定位装置相比,可以更好地固定患者体位,减少放射治疗的误差,同时也提高患者舒适度。Compared with the prior art, the present invention adds an adjustable headrest and a grip, so that the comfort of patients undergoing radiotherapy for rectal cancer is increased. Since the position of the headrest can be adjusted and fixed according to the height of the patient, compared with the existing positioning device without headrest and gripper, the position of the patient can be better fixed, errors of radiotherapy are reduced, and the comfort of the patient is also improved.

Claims (6)

1. A body position fixing device for radiotherapy of a patient with rectal cancer is characterized by mainly comprising a body supporting plate (1), a prone headrest (2) and a holding rod (3), wherein one end of the body supporting plate (1) is a U-shaped notch, the holding rod (3) is vertically arranged at two ends of the U-shaped notch, a clamping groove (9) is arranged at the inner edge of the U-shaped notch, head scales (8) are arranged on the U-shaped notch of the body supporting plate (1), 2 leg supports (6) are arranged at the other end of the body supporting plate (1), an oval groove (4) is arranged in the middle of the body supporting plate (1), a square abdominal hole (5) is arranged in the cambered groove (4), radiotherapy scales (7) are arranged on the side surface of the body supporting plate (1), the prone headrest (2) is a square with a notch at the side, 4) supporting legs are arranged, a headrest face hole (10) is formed in the middle, clamping groove teeth (12) are arranged at the bottoms of the 4 supporting legs, the clamping groove teeth (12) are matched with the clamping grooves (9), and an indicating arrow (11) is arranged at one corner of the prostrate headrest (2).
2. A posture immobilization device for radiotherapy of rectal cancer patients according to claim 1 wherein the square shaped abdominal hole (5) penetrates the body support plate (1).
3. A body position fixing device for the radiotherapy of a patient with rectal cancer according to claim 1, characterized in that the gap end of the prone headrest (2) is inserted into the U-shaped recess of the body supporting plate (1), the prone headrest (2) can slide back and forth in the U-shaped recess of the body supporting plate (1), and the prone headrest (2) is fixed with the body supporting plate (1) through the slot teeth (12) and the slots (9).
4. A posture fixation device for the radiotherapy of rectal cancer patients according to claim 1, characterized in that the notches (9) and the notch teeth (12) are saw-toothed.
5. A posture fixing device for the radiotherapy of rectal cancer patients according to claim 1, characterized in that the elliptic arc groove (4) is adapted to the curvature of the abdomen of the human body, and the leg support (6) is adapted to the curvature of the leg.
6. A posture fixation device for the radiotherapy of rectal cancer patients according to claim 1, characterized in that a soft pad is laid on the head-pad face (10).
CN202010387618.3A 2020-05-09 2020-05-09 Position fixing device for radiotherapy of rectal cancer patient Withdrawn CN111437523A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202010387618.3A CN111437523A (en) 2020-05-09 2020-05-09 Position fixing device for radiotherapy of rectal cancer patient

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Application Number Priority Date Filing Date Title
CN202010387618.3A CN111437523A (en) 2020-05-09 2020-05-09 Position fixing device for radiotherapy of rectal cancer patient

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN117224863A (en) * 2023-11-03 2023-12-15 安徽医科大学附属巢湖医院 Radiotherapy position fixing device

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN201441752U (en) * 2009-07-31 2010-04-28 徐军 Multi-functional positioning board for radiotherapy
CN206252738U (en) * 2016-08-26 2017-06-16 姜晓勃 For the whole body positioner of radiotherapy
CN209519243U (en) * 2018-08-20 2019-10-22 光领未来(广州)医疗科技有限公司 A kind of radiation treatment personality board
CN212439735U (en) * 2020-05-09 2021-02-02 浙江省肿瘤医院 A postural fixation device for radiotherapy for patients with rectal cancer

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN201441752U (en) * 2009-07-31 2010-04-28 徐军 Multi-functional positioning board for radiotherapy
CN206252738U (en) * 2016-08-26 2017-06-16 姜晓勃 For the whole body positioner of radiotherapy
CN209519243U (en) * 2018-08-20 2019-10-22 光领未来(广州)医疗科技有限公司 A kind of radiation treatment personality board
CN212439735U (en) * 2020-05-09 2021-02-02 浙江省肿瘤医院 A postural fixation device for radiotherapy for patients with rectal cancer

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN117224863A (en) * 2023-11-03 2023-12-15 安徽医科大学附属巢湖医院 Radiotherapy position fixing device
CN117224863B (en) * 2023-11-03 2024-03-29 安徽医科大学附属巢湖医院 Radiotherapy position fixing device

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