3D打印,又称增材制造技术。根据美国材料与试验协会(American Society for Testing and Materials,ASTM)的标准定义,通过计算机控制打印机逐层堆叠材料,然后得到所需三维实体的工艺[1—2]。3D打印技术为医学领域的发展提供新的方法,促...3D打印,又称增材制造技术。根据美国材料与试验协会(American Society for Testing and Materials,ASTM)的标准定义,通过计算机控制打印机逐层堆叠材料,然后得到所需三维实体的工艺[1—2]。3D打印技术为医学领域的发展提供新的方法,促进了医学3D打印概念的诞生,目前备受众多学者的关注[3—5];并且,在物理医学和康复领域,3D打印能够为矫形器的制造和设计提供独特的方案,从而解决患者的部分功能障碍。展开更多
We evaluated the effect of a new type of brace(primary material 3300PA)for treating scoliosis,which was produced based on 3D printing technology combined with a non-contact optical mold-taking and computer-aided desig...We evaluated the effect of a new type of brace(primary material 3300PA)for treating scoliosis,which was produced based on 3D printing technology combined with a non-contact optical mold-taking and computer-aided design.Through the production of a brace for a 13-year-old patient with adolescent idiopathic scoliosis by a multidisciplinary team,the digital design and 3D printing of a personalized scoliosis brace were introduced.Parameters such as the Cobb angle,angle of trunk inclination,spine-coronal plane balance parameters,sagittal vertical axis(SVA),and Scoliosis Research Society-22 score(SRS-22)were measured to evaluate the treatment effect of the brace.The model-taking process of the non-contact optical scanner was successful,data were valid,and personalized scoliosis brace made by the computer-aided design and 3D printing fitted well with the patient.Before wearing,immediate in-brace,and 6 months after wearing,the Cobb angles were 29°,9°,and 14°,respectively.The offsets between the C7 vertebra plumb line(C7PL)and central sacral vertical line(CSVL)were 3.2 cm,2.2 cm,and 2.1 cm,respectively.SVAs were 3.3 cm,2.9 cm,and 0.3 cm,respectively.Apex vertebral translocations were 4.3 cm,0.3 cm,and 0.1 cm,respectively.The SRS-22 was 76 before brace application and 91 at the 6-month follow-up.The spine curve returned to normal,and the correction effect was obvious.The scoliosis brace indicates the integration between digital medicine and 3D printing technology,which has personalization and customization as advantages.The brace has good wearing comfort,invisibility,and orthopedic function,follows the psychological needs of teenagers,improves patients’compliance,and improves the correction of the deformity.展开更多
目的:观察独活寄生汤联合康复训练对膝骨关节炎(knee osteoarthritis,KOA)患者全膝关节置换术(total knee arthro-plasty,TKA)后早期运动功能的影响。方法:90例KOA患者按照随机数字表法将患者分为对照组与治疗组,每组各45例。两组患者...目的:观察独活寄生汤联合康复训练对膝骨关节炎(knee osteoarthritis,KOA)患者全膝关节置换术(total knee arthro-plasty,TKA)后早期运动功能的影响。方法:90例KOA患者按照随机数字表法将患者分为对照组与治疗组,每组各45例。两组患者均行单侧膝关节TKA,对照组术后每日给予常规康复功能训练;治疗组在对照组治疗基础上给予独活寄生汤,两组均治疗14 d。治疗后,比较两组患者术前、术后14 d的视觉模拟评分(visual analogue scale,VAS)、膝关节活动度(range of motion,ROM)、美国特种外科医院(hospital for special surgery,HSS)功能评分、起立-行走计时测试(the time up and go test,TUGT)以及6分钟步行试验(6-minute walking test,6MWT)。结果:治疗后,两组患者VAS、TUGT测试时间均显著降低,且治疗组显著低于同期对照组,差异均有统计学意义(P<0.05)。治疗后,两组患者ROM、HSS功能评分、6MWT均显著升高,且治疗组显著高于同期对照组,差异均有统计学意义(P<0.05)。结论:独活寄生汤联合常规康复训练对KOA患者TKA后早期运能影响较大,能改善患者TKA术后膝关节疼痛、提高关节活动度和下肢运动功能。展开更多
文摘3D打印,又称增材制造技术。根据美国材料与试验协会(American Society for Testing and Materials,ASTM)的标准定义,通过计算机控制打印机逐层堆叠材料,然后得到所需三维实体的工艺[1—2]。3D打印技术为医学领域的发展提供新的方法,促进了医学3D打印概念的诞生,目前备受众多学者的关注[3—5];并且,在物理医学和康复领域,3D打印能够为矫形器的制造和设计提供独特的方案,从而解决患者的部分功能障碍。
基金the Special Research Fund for the National Key R&D Program of China(Nos.2018YFB1105600 and 2018YFB1107000)the Two-hundred Talent Support(No.20152224)+3 种基金the Science and Technology Commission of Shanghai Municipality(Nos.18441903700,19XD1434200,19441908700,and 19441917500)the Translational Medicine Innovation Project of Shanghai Jiao Tong University School of Medicine(No.TM201613)the Clinical Research Project of Multi-Disciplinary Team of Shanghai Ninth People’s Hospital(No.201914)the Innovation and Entrepreneurship Training Program for College Students in Shandong Province(No.S201910438021S)。
文摘We evaluated the effect of a new type of brace(primary material 3300PA)for treating scoliosis,which was produced based on 3D printing technology combined with a non-contact optical mold-taking and computer-aided design.Through the production of a brace for a 13-year-old patient with adolescent idiopathic scoliosis by a multidisciplinary team,the digital design and 3D printing of a personalized scoliosis brace were introduced.Parameters such as the Cobb angle,angle of trunk inclination,spine-coronal plane balance parameters,sagittal vertical axis(SVA),and Scoliosis Research Society-22 score(SRS-22)were measured to evaluate the treatment effect of the brace.The model-taking process of the non-contact optical scanner was successful,data were valid,and personalized scoliosis brace made by the computer-aided design and 3D printing fitted well with the patient.Before wearing,immediate in-brace,and 6 months after wearing,the Cobb angles were 29°,9°,and 14°,respectively.The offsets between the C7 vertebra plumb line(C7PL)and central sacral vertical line(CSVL)were 3.2 cm,2.2 cm,and 2.1 cm,respectively.SVAs were 3.3 cm,2.9 cm,and 0.3 cm,respectively.Apex vertebral translocations were 4.3 cm,0.3 cm,and 0.1 cm,respectively.The SRS-22 was 76 before brace application and 91 at the 6-month follow-up.The spine curve returned to normal,and the correction effect was obvious.The scoliosis brace indicates the integration between digital medicine and 3D printing technology,which has personalization and customization as advantages.The brace has good wearing comfort,invisibility,and orthopedic function,follows the psychological needs of teenagers,improves patients’compliance,and improves the correction of the deformity.
文摘目的:观察独活寄生汤联合康复训练对膝骨关节炎(knee osteoarthritis,KOA)患者全膝关节置换术(total knee arthro-plasty,TKA)后早期运动功能的影响。方法:90例KOA患者按照随机数字表法将患者分为对照组与治疗组,每组各45例。两组患者均行单侧膝关节TKA,对照组术后每日给予常规康复功能训练;治疗组在对照组治疗基础上给予独活寄生汤,两组均治疗14 d。治疗后,比较两组患者术前、术后14 d的视觉模拟评分(visual analogue scale,VAS)、膝关节活动度(range of motion,ROM)、美国特种外科医院(hospital for special surgery,HSS)功能评分、起立-行走计时测试(the time up and go test,TUGT)以及6分钟步行试验(6-minute walking test,6MWT)。结果:治疗后,两组患者VAS、TUGT测试时间均显著降低,且治疗组显著低于同期对照组,差异均有统计学意义(P<0.05)。治疗后,两组患者ROM、HSS功能评分、6MWT均显著升高,且治疗组显著高于同期对照组,差异均有统计学意义(P<0.05)。结论:独活寄生汤联合常规康复训练对KOA患者TKA后早期运能影响较大,能改善患者TKA术后膝关节疼痛、提高关节活动度和下肢运动功能。
