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系統識別號 U0026-0812200911555828
論文名稱(中文) 骨疾用體外震波醫療機之系統整合
論文名稱(英文) System Integration of Extracorporeal Shock Wave Therapy for Orthopedics
校院名稱 成功大學
系所名稱(中) 航空太空工程學系碩博士班
系所名稱(英) Department of Aeronautics & Astronautics
學年度 94
學期 2
出版年 95
研究生(中文) 賴政緯
研究生(英文) Zheng-Wei Lai
電子信箱 japi1234@yahoo.com.tw
學號 p4693129
學位類別 碩士
語文別 中文
論文頁數 97頁
口試委員 指導教授-梁勝明
口試委員-蒲永仁
口試委員-張建成
口試委員-馬亞尼
中文關鍵字 體外震波醫療機  電極  震波產生器  骨疾 
英文關鍵字 orthopedics  shock wave generator  extracorporeal shock wave therapy  electrode 
學科別分類
中文摘要   幾年骨疾用體外震波治療機(Extracorporeal Shock Wave Therapy,ESWT)已經成功的應用在骨科和創傷科,特別是肌肉骨骼的不適症,如:足底筋膜炎(足跟骨刺)、網球肘、高爾夫球肘、肩關節鈣化肌腱炎(五十肩)以及骨折癒合不良等,使用骨疾用體外震波醫療機來治療可達到顯著的成效及高成功率。ESWT的優點是以非侵入式的方式來達到治療病患的效果,患者無需住院開刀,且無嚴重副作用,醫療費用低廉等。ESWT的治療機制是以震波誘發新血管再生,新血管的再生能夠增進血液補充,導致組織的再生。
  成功大學醫學震波應用研究中心所研發的骨疾用體外震波治療機包含了以下幾種系統:(1)震波產生器;(2)支撐震波產生器之四軸移動平台;(3)自動間距控制系統;(4)影像處理回授系統;(5)高壓放電系統;(6)進排水系統。本研究成功的將震波產生器、四軸移動平台、間距控制系統及影像處理回授系統作一整合,並使用Visual C++ 6.0軟體開發出一套可簡易操作本系統之ESWT人性化操作介面,此外將所完成之整合程式作可靠度及性能的評估,並加以探討在不同操作電壓下青銅電極棒的熔蝕速率、最佳間距及調整時機,且將實驗數據納入程式開發時的參考依據以提升本系統在醫療使用上的效能。


英文摘要   Extracorporeal Shock Wave Therapy (ESWT) has been successfully used in orthopedics and traumatology in recent years. In particular, musculoskeletal disorders such as plantar fasciitis, lateral epicondylitis of the elbow (tennis elbow), calcifying tendonitis of the shoulder were clinically treated by ESWT with high successful rate. The advantage of ESWT in orthopedics is to treat by a non-invasive way, no need of open surgery and hospitalization, less side effects as well as low cost. The mechanism of ESWT is found to be the induction of ingrowth neovascularization. The neovascularization can improve blood supply leading to tissue regeneration.
The Extracorporeal Shock Wave Therapy designed by the Research Center of Medical Shock Wave Application at National Cheng Kung University includes following subsystems:(1) a shock wave generator; (2) a four-axis movement mechanism with the shock wave generator; (3) an automatic gap-controlled system; (4) an image process feedback system; (5) a high-voltage discharge system; (6) a water in-and-out system. In this study, we successfully integrate four subsystems-the shock wave generator, the three-axis movement mechanism, the automatic gap- controlled system and the image process feedback system. A control panel for user’s friendly operation on the ESWT is established. Namely, the operator can easily use it to manipulate the Extracorporeal Shock Wave Therapy during patient’s treatment. Furthermore, we test the stability and performance of the integrated program. The relationships between the bronze electrode’s eroding rate and the operating voltage and between the optimal gap and the time to adjust are investigated. Finally the experimental data of the optimal gap and the gap-adjusting time are introduced to ESWT for promoting its efficiency.


論文目次 目錄

中文摘要 i
英文摘要 ii
致謝 iv
目錄 v
表目錄 viii
圗目錄 ix
符號說明 xiii

第一章 緒論 1
§1-1 前言 1
§1-2 研究動機與目的 1
§1-3 文獻回顧 2

第二章 理論分析 4
§2-1 震波基本原理 4
§2-2 球震波之基本特性 5
§2-3 電水式震波產生器 7

第三章 四軸移動平台系統架構 10
§3-1 硬體系統架構 10
§3-2 四軸移動平台 13
§3-3 伺服馬達驅動器 14
§3-3-1 AC伺服馬達 14
§3-3-2 伺服馬達驅動器內部參數設定與測試 18
§3-4 減速機 19
§3-5 多軸伺服馬達控制卡 20
§3-5-1 PMAC控制器 20
§3-5-2 PMAC內部參數設定與控制指令 21
§3-6 Limit Switch 24
§3-7 軟體系統架構 31
§3-8 RS-232串列通訊 32
§3-9 四軸移動平台人性化操作介面 34

第四章 自動間距控制系統 37
§4-1 硬體系統架構 37
§4-2 震波產生器 40
§4-3 伺服控制箱 42
§4-4 CCD camera 43
§4-5 MC8141P四軸馬達控制卡 46
§4-6 軟體系統架構 47
§4-7 MC8141P軸控卡軟體設定 48
§4-8 自動間距控制系統介面 51

第五章 實驗設備與方法 56
§5-1 實驗設備 56
§5-1-1 體外震波碎石機 56
§5-1-2 壓力量測系統 57
§5-1-3 資料擷取系統 57
§5-2 實驗目的與步驟 60

第六章 結果與討論 64
§6-1 ESWT人性化操作介面程式可靠度與性能評估 64
§6-2 不同操作電壓(7 kV、8 kV、9 kV)青銅電擊棒熔蝕速率 67
§6-3 不同操作電壓(7 kV、8 kV、9 kV)青銅電擊棒之最佳間距 68
§6-4 不同操作電壓(7 kV、8 kV、9 kV)電極間距之調整時機 70
§6-5 不同操作電壓(7 kV、8 kV、9 kV)電極間距控制與否比較 77

第七章 結論 82

參考文獻 84
附錄一 87
附錄二 91
附錄三 94
自述 97
參考文獻 參考文獻

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