横向微振动对血管内治疗导丝的影响

Chaonan Zhang, Shuxiang Guo, Nan Xiao, Jiaqing Wu, Yan Zhao, Changqi Xu, Guangxuan Li, Xianqiang Bao
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引用次数: 1

摘要

血管微创介入是一种以医用导管和导丝为主要手术设备,用于血管疾病远程微创治疗的新型医疗技术。它具有创伤小、恢复时间短、疼痛少等优点,被广泛应用。但仍存在诸多不足,限制了血管介入手术的继续发展:术中x线对医生的损伤严重;高度依赖医生的经验和技术;手术效率和安全性低。通过对介入手术的研究和分析,医生在手术中操作导管和导丝时通常会遇到阻力。在某些特殊情况下,所受的阻力会更大。操作不当会造成血管损伤。在实际操作过程中,导管和导丝在人体血管中会受到来自血液的粘性阻力。它影响着医生的手术和效率,也影响着手术的安全性。同时,现场对手术过程中导管和导丝的粘滞阻力的研究还处于空白状态,目前还没有能够降低这种阻力的研究方法。为了解决这些问题,本文对手术中导管与导丝黏性力的产生机理进行了研究,开创了一种补充导丝近端微振动的方法。该方法可减少推入过程中血液对导管和导丝施加的粘性力,提高手术安全性和手术平稳性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effects of the transverse micro-vibration on guide wires for endovascular therapy
The vascular minimally invasive intervention is a new type of medical technology with medical catheter and guide wire as the main surgical equipment which is for remote minimally invasive treatment of vascular disease. It is widely used for its advantages, such as smaller trauma, shorter recovery and less pain. But there are many deficiencies limiting the continued development of vascular intervention surgery: Serious damage of X-ray to the doctor during the surgery; high dependence on the doctor's experience and technique; low surgical efficiency and safety. Through the study and analysis of the interventional operation, the doctors will usually be subjected to the resistance when operating the catheter and the guide wire during the surgery. In some special condition, the suffered resistance would be larger. The improper operation will cause blood vessel damage. In the course of the actual operation, the catheter and the guide wire in the human blood vessels will suffer the viscous resistance from the blood. It affects the operation and efficiency of the doctors, as well as the safety of surgery. At the same time, the research about the viscous resistance of the catheters and the guide wire during the surgery in the field is still in a blank, and there is no research method that can reduce this resistance. In order to solve these problems, this paper has carried on the research on the mechanism of the viscous force of the catheter and the guide wire in surgery, and pioneers a method to supplement the micro-vibration in the proximal end of the guide wire. This method can reduce the viscous force of the catheter and the guide wire exerted by the blood during the push process, improve the surgical safety and the smoothness of the operation.
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