3D打印脊柱侧凸矫形器的矫正效果

doi:10.3969/j.issn.1006-9771.2023.04.003

《中国康复理论与实践》 ›› 2023, Vol. 29 ›› Issue (4): 390-395.doi: 10.3969/j.issn.1006-9771.2023.04.003

3D打印脊柱侧凸矫形器的矫正效果

于文强¹^,², 侯俞彤¹, 黄承兰¹, 杨云霄¹, 鲁德志³, 王彩萍², 王金武²()

1.潍坊医学院康复医学院，山东潍坊市 261053
2.上海交通大学医学院附属第九人民医院骨科，上海市 200011
3.上海大学医学院，上海市 200011

收稿日期:2022-11-18 修回日期:2023-02-20 出版日期:2023-04-25 发布日期:2023-05-19
通讯作者: 王金武(1971-)，男，博士，教授，博士研究生导师，主要研究方向：骨科学、数字医学。E-mail： wangjw-team@shsmu.edu.cn
作者简介:于文强(1997-)，男，汉族，安徽亳州市人，硕士研究生，主要研究方向：3D打印康复辅具。
基金资助:
1.科技部重点研发计划项目(2020YFB1711500);2.转化医学国家重大科技基础设施(上海)开放课题基金项目(TMSK-2021-140);3.上海交通大学医学院双百人计划项目(20152224);4.上海交通大学医学院转化医学创新基金项目(TM201915);5.上海交通大学医学院附属第九人民医院临床研究型多学科诊疗项目(201914)

Corrective effect of 3D printed scoliosis orthoses

YU Wenqiang¹^,², HOU Yutong¹, HUANG Chenglan¹, YANG Yunxiao¹, LU Dezhi³, WANG Caiping², WANG Jinwu²()

1. School of Rehabilitation Medicine, Weifang Medical University, Weifang, Shandong 261053, China
2. Department of Orthopedics, Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200011, China
3. School of Medicine, Shanghai University, Shanghai 200011, China

Received:2022-11-18 Revised:2023-02-20 Published:2023-04-25 Online:2023-05-19
Contact: WANG Jinwu, E-mail: wangjw-team@shsmu.edu.cn
Supported by:
National Key R & D Program of China(2020YFB1711500);National Facility for Translational Medicine (Shanghai) Open Project Fund(TMSK-2021-140);Shanghai Jiaotong University School of Medicine Two-hundred Talent Support(20152224);Translational Medicine Innovation Project of Shanghai Jiaotong University School of Medicine(TM201915);Clinical Research Project of Multi-Disciplinary Team, Ninth People's Hospital, Shanghai Jiaotong University School of Medicine(201914)

摘要/Abstract

摘要：

目的观察3D打印脊柱侧凸矫形器的矫正期内矫正效果和短期矫正效果。
方法 2021年7至12月，就诊于上海交通大学附属第九人民医院的青少年特发性脊柱侧凸患者36例，穿戴矫形器前及穿戴后即刻摄脊柱全长X线片；每日穿戴矫形器20 h以上，6个月后随访拍摄X线片；计算Cobb角。穿戴矫形器前后采用脊柱侧凸研究会22项问卷简体中文版(SRS-22)进行评估。
结果穿戴矫形器前，患者平均Cobb角(22.10±6.29)°；穿戴后即刻Cobb角(7.85±10.90)° (t = 4.775, P < 0.01)；6个月后，Cobb角(14.33±0.74)°，仍明显低于穿戴前(t = 4.189, P < 0.01)。穿戴6个月后，SRS-22功能状况维度评分明显增加(Z = -2.676, P < 0.01)。穿戴后即刻Cobb角与6个月后Cobb角呈正相关(r = 0.826, P < 0.05)。
结论穿戴3D打印脊柱侧凸矫形器矫正期内和短期矫正效果均较好。

关键词: 脊柱侧凸, 3D打印, 矫形器

Abstract:

Objective To investigate the in-brace and short-term correction of 3D-printed scoliosis orthoses.
Methods From July to December 2021, 36 patients with adolescent idiopathic scoliosis from Ninth People's Hospital, Shanghai Jiaotong University School of Medicine were selected to complete full-length radiographs of the spine before and immediately after wearing the orthosis. They wore the orthosis more than 20 hours a day, and took radiographs six months later. Cobb angle was calculated. They were assessed with Chinese version of the Scoliosis Research Society's outcomes instrument 22 (SRS-22) before wearing and six months follow-up.
Results The mean Cobb angle was (22.10±6.29)° before wearing, and it was (7.85±10.90)° immediately after wearing (t = 4.775, P < 0.01) and (14.33±0.74)° six months follow-up (t = 4.189, P < 0.01). The score of functional status of SRS-22 increased six months follow-up (Z = -2.676, P < 0.01). The Cobb angle immediately after wearing correlated with the Cobb angle six months follow-up (r = 0.826, P < 0.05).
Conclusion 3D-printed scoliosis orthoses can correct the scoliosis satisfactorily, in-brace and in short-term.

Key words: scoliosis, 3D printing, orthosis

中图分类号:

R496

于文强, 侯俞彤, 黄承兰, 杨云霄, 鲁德志, 王彩萍, 王金武. 3D打印脊柱侧凸矫形器的矫正效果[J]. 《中国康复理论与实践》, 2023, 29(4): 390-395.

YU Wenqiang, HOU Yutong, HUANG Chenglan, YANG Yunxiao, LU Dezhi, WANG Caiping, WANG Jinwu. Corrective effect of 3D printed scoliosis orthoses[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(4): 390-395.

图/表 4

参考文献 44

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维度	治疗前	治疗后	Z值	P值
疼痛	4.43±0.56	4.60±0.49	-1.890	0.059
功能状况	4.27±0.81	4.67±0.54	-2.676	0.007
自我形象	4.43±0.76	4.23±0.84	-1.897	0.058
心理状况	4.47±0.85	4.23±0.62	-1.606	0.108
满意度		4.10±0.83

3D打印脊柱侧凸矫形器的矫正效果

Corrective effect of 3D printed scoliosis orthoses

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