簡易檢索 / 詳目顯示

研究生: 陳亮均
Liang-chun Chen
論文名稱: 非侵入式腔室壓力量測系統開發
Development of non-invasive system for measuring compartment pressure
指導教授: 張復瑜
Fuh-Yu Chang
口試委員: 康銘元
none
楊申語
none
鄭正元
Jeng-Ywan Jeng
鍾俊輝
Chun-hui Chung
湯孝威
none
學位類別: 碩士
Master
系所名稱: 工程學院 - 機械工程系
Department of Mechanical Engineering
論文出版年: 2014
畢業學年度: 102
語文別: 中文
論文頁數: 108
中文關鍵詞: 腔室症候群腔室壓力撓性壓力感測器有限元素分析
外文關鍵詞: compartment syndrome, compartment pressure, flexible sensor, finite element analysis
相關次數: 點閱:241下載:0
分享至:
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報

腔室症候群(compartment syndrome, CS)發生的原因乃是組織內的壓力大過血液灌流的壓力,導致血液無法供應養分給組織。其可因各種傷害而產生,常見的原因包括長骨骨折、高能量的創傷、穿刺傷、靜脈損傷、壓碎性傷害……等,若壓力持續升高數小時,則會組織壞死而產生不可逆的損害。目前是利用探針直接插入所需量測之腔室中,測量腔室內的壓力值,來診斷是否有腔室症候群的危險。侵入式方法監測會遇到的問題是1.易傷及神經血管與後續可能的傷口感染2.需進入手術室才能使用。
因此,本研究應用撓性壓力感測器來開發一量測裝置,並於自行製作的小腿模型上進行量測實驗,再透過有限元素分析軟體ANSYS Workbench 14.5進行腔室壓力與撓性壓力感測器數值的模擬。另外,導入非線性材料的皮膚軟組織與肌肉的材料特性,模擬真實小腿發生腔室症候群時,小腿肌肉與感測器數值變化。最後,本研究將小腿模型實驗、模擬實驗以及真實小腿模擬實驗之結果,進行深入的分析與探討。


Compartment syndrome (CS) occurs when the tissue pressure within a closed muscle compartment exceeds the perfusion pressure and results in muscle and nerve ischemia. Common causes of compartment syndrome include long bone fractures, high-energy trauma, puncture wounds, venous injury, crush injuries. If the pressure continues to rise for several hours, then tissue will die and it may cause irreversible damage.
Currently, a needle is inserted into the area of suspected compartment syndrome while an attached pressure monitor records the pressure to diagnose the compartment syndrome. The invasive method has some problems: 1. neurovascular injuries and wound infections. 2. it has to be used in operaration room.
This study developed a non-invasive compartment pressure measuring system which is with flexble pressure sensors, and experiments were performed with this system on a lower leg CS simulation model. Compartment pressure and on skin pressure according to placed sensor positions were simulated by finite element analysis software ANSYS Workbench 14.5. In addition, the material properties of nonlinear materials, soft tissue and muscle, were applied in the theoretical simulation to approach the real lower leg compartment syndrome case, to study tissue and muscle deformation and pressure distribution. Finally, the results of the experiment and simulation were discussed in detail.

摘要2 Abstract3 致謝4 目錄5 圖目錄9 表目錄15 第一章 緒論16 1.1前言16 1.2研究動機與目的17 1.3論文架構18 第二章 文獻回顧20 2.1 腔室症候群簡介20 2.1.1 腔室症候群診斷21 2.1.2 侵入式方法量測腔室症候群27 2.1.3 非侵入式方法量測腔室症候群28 2.2 工程分析29 2.2.1 有限元素法概念31 2.2.2 非線性材料理論31 2.3 撓性壓力感測器34 2.3.1 撓性壓力感測器基本規格34 2.3.2 撓性壓力感測器工作特性36 2.3.3 撓性壓力感測器應用37 2.4 電腦斷層掃描(Computed Tomography, CT)38 2.5 聚氨酯橡膠(Polyurethane,PU)38 第三章 模擬規劃40 3.1 小腿PU模型模擬40 3.1.1 建立二維模型41 3.1.2 建立有限元素模型42 3.1.3 材料參數設定43 3.1.4 邊界條件設定44 3.2 小腿實體模擬46 3.2.1 建立二維模型47 3.2.2 建立有限元素模型48 3.2.3 材料參數設定49 3.2.4 邊界條件設定52 第四章 實驗規劃56 4.1 實驗系統製作56 4.2 量測裝置設計與製作57 4.2.1 石膏製作57 4.2.2 金屬環設計58 4.2.3 藍芽模組與接收裝置60 4.2.4 感測頭製作63 4.3 小腿PU模型之腔室壓力量測實驗規劃64 4.4 小腿PU模型實驗規劃66 第五章 模擬與實驗結果討論69 5.1 小腿PU模型之腔室壓力變化實驗量測結果69 5.2 小腿PU模型模擬與實驗結果與討論73 5.2.1 單腔室加壓之模擬與實驗結果比較73 5.2.2 雙腔室加壓之模擬與實驗結果比較77 5.2.3 三腔室加壓之模擬與實驗結果比較83 5.2.4 結果整理與討論87 5.3 小腿實體模擬結果88 5.3.1 單腔室加壓模擬結果89 5.3.2 雙腔室加壓模擬結果91 5.3.3 三腔室加壓模擬結果95 5.3.4 小腿實體模擬結果與討論98 第六章 結論與未來展望103 6.1 結論103 6.2 未來展望105 參考文獻106

1. 張金堅、林芳郁,創傷急救手冊,金名圖書有限公司,台北 (1999)。
2. 顏大欽、邱方遙、 陳全木,腔室症候群,臺北榮民總醫院臨床醫學月刊社,第四十六卷,第四期,第219-223頁 (2000)。
3. Larsen, M. H., Nielsen, H. T., and Wester, J. U., “Compartment syndrome of the lower part of the leg, exceptional trauma mechanism” , Journal of the Ugeskrift for Laeger , pp. 2751-2752 (2003)
4. McQueen, M. M., Gaston, P., and Court-Brown, C. M., “ Acute compartment syndrome Who is at risk?” , Journal of Bone and joint surgery , Vol. 82-B, No. 2, pp. 200-203 (2000)
5. 李輝煌, ANSYS 工程分析-基礎與觀念,高立圖書有限公司,台北 (2005)。
6. 劉晉奇、褚晴輝,有限元素分析與ANSYS的工程應用,滄海書局,2006。
7. Taber, L. A., “Nonlinear Theory of Elasticity Applications in Biomechanics” , World Scientific Publishing Co. Pte. Ltd., Singapore (2004)
8. http://www.tekscan.com/ html, Tekscan, Inc.
9. Ferre, M., Galiana, I. and Aracil, R., “Design of a Lightweight, Cost Effective Thimble-Like Sensor for Haptic Applications Based on Contact Force Sensors” , Journal of the Sensors , pp. 11945-11509 (2011)
10. Martin, F. P., Satsue, H., Duncan, B., “Evaluation of a sensor for low interface pressure applications” , Journal of the Medical Engineering & Physics , Vol. 22, pp. 657–663(2000)
11. http://www.chgh.org.tw:8000/news_in.aspx?siteid=67&ver=&usid=
&mnuid=1846&modid=330&mode=&nid=221&noframe=,振興醫療財團法人振興醫院,放射診斷科。
12. http://www.johnsonpu.com.tw/tw_company_01_d.htm, Johnson Chemical Product Co.,Ltd.
13. “ANSYS 14.0 HELP // Element Reference // I. Element Library // PLANE183”,ANSYS (2011)
14. Whitesides, T. E., Heckman, M. M., “Acute compartment syndrome: Update on diagnosis and treatment” , Journal of the American Academy of Orthopaedic Surgeons , Vol. 4(4), pp.209-218 (1996)
15. Perron, A. D., Brady, W. J., and Keats, T. E., “Orthopedic pitfalls in the ED: Acute compartment syndrome”, The American Journal of Emergency Medicine , Vol. 19(5), pp. 413-416 (2001)
16. Amendola, A., Rorabeck, C. H., Vellett, D., Vezina, W., Rutt, B., and Nott, L., ”The use of magnetic resonance imaging in exertional compartment syndromes”, The American Journal of Sports Medicine , Vol. 18(1), pp. 29-34 (1990)
17. Dickson, K. F., Sullivan, M. J., Steinberg, B., Myers, L., Anderson, E. R. 3rd, and Harris, M., ” Noninvasive Measurement of compartment syndrome”, The American Journal of Orthopedics , Vol. 26(12), pp. 1215-1218 (2003)
18. Mars, M., Maseko, S., Thomson, S., and Rout, C. “Can pulse oximetry detect raised intracompartmental pressure?”, South African Journal of Surgery , Vol. 32(2), pp. 48-50 (1994)
19. Gentilello, L. M., Sanzone, A., Wang, L., Liu, P. Y., and Robinson, L., “Near-infrared spectroscopy versus compartment pressure for the diagnosis of lower extremity compartmental syndrome using electromyography-determined measurements of neuromuscular function”, Journal of Trauma , Vol. 51(1), pp. 1-8 (2001)
20. Johan, G. H. van den Brand, Egbert, J. M. M. Verleisdonk, and Christian, van der Werken,” Near infrared spectroscopy in the diagnosis of chronic exertional compartment syndrome”, The American Journal of Sports Medicine , Vol. 32(2), pp. 452-456 (2004)
21. Wiemann, J. M., Ueno, T., Leek, B. T., Yost, W. T., Schwartz, A. K., and Hargens, A. R., “Noninvasive measurements of intramuscular pressure using pulsed phase-locked loop ultrasound for detecting compartment syndromes: A preliminary report” , Journal of Orthopaedic Trauma , Vol. 20(7), pp. 458-463 (2006)
22. Mars, M., Hadley, G. P., “Failure of pulse oximetry in the assessment of raised limb intracompartmental pressure”, Journal of Injury , Vol. 25(6), pp. 379-381 (1994)

無法下載圖示 全文公開日期 2019/07/29 (校內網路)
全文公開日期 本全文未授權公開 (校外網路)
全文公開日期 本全文未授權公開 (國家圖書館:臺灣博碩士論文系統)
QR CODE