摘要
目的:探讨3D打印负压吸盘个体化治疗漏斗胸患儿的治疗效果,并分析3D打印技术在对称型和非对称型漏斗胸治疗中的可行性。方法:回顾性分析2020年3月~2022年4月福州儿童医院收治的通过3D打印负压吸盘个体化治疗的漏斗胸患儿75例的临床资料,包括年龄、性别、Haller指数、漏斗胸深度、横径、纵径以及使用过程中出现的相关不良反应等,通过3D扫描获得使用前后漏斗部各项指标,对使用前后各项指标进行统计学分析,评价其临床治疗效果。结果:根据纳入标准和排除标准共75例患儿被纳入研究,其中男52例(69.33%),女23例(30.67%);年龄平均为(5.57±3.66)岁。75例患者治疗后漏斗部凹陷横径、凹陷纵径、凹陷深度、Haller指数均低于治疗前,差异具有统计学意义(P<0.05);其中44例对称型和31例非对称型漏斗胸患儿治疗后对称型漏斗部凹陷横径、凹陷纵径、凹陷深度、Haller指数也均低于治疗前,差异具有统计学意义(P<0.05)。矫形效果评价中,优秀1例,良好60例,一般14例,优良率高达81.33%。大部分患儿家属对诊疗效果表示满意(89.33%)。干预过程中出现相关不良反应较轻,多无需特殊干预。结论:3D打印负压吸盘个体化在治疗对称型和非对称型漏斗胸患儿均具有良好治疗效果,具有较好的可行性。
Objective To investigate the therapeutic effect of 3D printing negative pressure suction cup in individualized treatment of children with pectus excavatum,and to analyze the feasibility of 3D printing technology in the treatment of symmetrical and asymmetrical pectus excavatum.Method The clinical data of 75 cases of children with pectus excavatum treated in our hospital from March 2020 to April 2022 were retrospectively analyzed,including age,gender,Haller index,and depth of pectus excavatum.,horizontal diameter,longitudinal diameter,and related adverse reactions during use,etc.,through 3D scanning to obtain various indicators of the infundibulum before and after use,and perform statistical analysis on the indicators before and after use to evaluate its clinical treatment effect.Results According to the inclusion and exclusion criteria,a total of 75 children were included in this study,including 52 males(69.33%)and 23 females(30.67%);the average age was(5.57±3.66)years.After treatment,the transverse diameter,longitudinal diameter,depth and Haller index of infundibulum depression in 75 patients were all lower than those before treatment,and the difference was statistically significant(P<0.05).Among them,44 patients had symmetrical pectus excavatum and 31 patients had asymmetric pectus excavatum.After treatment,the transverse diameter,longitudinal diameter,depth and Haller index of the symmetrical infundibulum depression in the children were also lower than those before treatment,and the differences were statistically significant(P<0.05).In the evaluation of orthopedic effect,1 person was excellent,60 were good,and 14 were average,with an excellent and good rate of 81.33%.Most of the family members of the children were satisfied with the diagnosis and treatment results(89.33%).The related adverse reactions during the intervention process were relatively mild,and most of them did not require special intervention.Conclusion The individualization of 3D printing negative pressure suction cup has a good therapeutic eff
作者
陈世恭
陈伟涛
陈新弟
CHEN Shi-Gong;CHEN Wei-Tao;CHEN Xin-Di(Department of Pediatric Thoracic Surgery,Fuzhou Children’s Hospital,Fuzhou 350005,Fujian,China)
出处
《吉林医学》
CAS
2024年第1期57-61,共5页
Jilin Medical Journal
基金
福州市级科技计划项目[项目编号:2022-5-076]。
关键词
漏斗胸
个性化定制负压吸盘
3D打印
对称型
非对称型
Pectus excavatum
Personalized custom negative pressure suction cup
3D printing
Symmetrical type
Asymmetrical type
