3D打印个性化颈椎矫治枕的有限元分析及临床应用
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国家重点研发计划项目( 2022YFF1202600),上海市科学技术委员会 “ 科技创新行动计划” 国内科技合作领域项目(22015820100),上海交通大学医学院附属第九人民医院临床研究型 MDT 项目( 201914),上海交通大学医学院地高大双百人计划(20152224),中国残联课题残疾人辅助器具专项(2021CDPFAT-45),贵州省科技支撑计划(黔科合支撑【2023】一般 196)


Finite Element Analysis and Clinical Application of Three-Dimensional-Printed Personalized Cervical Orthodontic Pillow
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    摘要:

    目的 评估3D打印个性化颈椎矫治枕在神经根型颈椎病治疗中的安全性和治疗效果。方法 建立有限元模型模拟分析患者在使用枕头前后颈椎的生物力学变化。同时,纳入慢性颈痛患者20例,分析使用枕头前后视觉模拟评分量表、颈椎功能障碍指数、压痛阈值、Borden值、颈椎前凸、T1倾斜角、颈部斜率和胸廓入口角。结果 有限元分析表明,枕后的椎体最大应力上升64.35%,软骨组织最大应力5.09%,Borden值改善45.75%;临床研究表明,治疗后视觉模拟评分量表、颈椎功能障碍指数和压痛阈值显著下降(P<0.05),压痛阈值、Borden值、颈椎前凸角、T1倾斜角和胸廓入口角显著上升(P<0.05)。结论 3D打印个性化颈椎矫治枕在颈部疼痛和改善颈椎曲度功能方面安全有效,为颈椎病的非手术治疗提供了一种新的有效手段,具有重要的临床意义。

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    Objective To evaluate the safety and therapeutic efficacy of three-dimensional-printed personalized cervical correction pillows for treating cervical spondylotic radiculopathy. Methods A finite element model was established to simulate and analyze the biomechanical changes in cervical spine before and after using the pillow. Additionally, 20 patients with chronic neck pain were included to analyze changes in visual analogue scale (VAS) scores, neck disability index (NDI), pressure pain threshold (PPT), Borden value, cervical lordosis, T1 slope, cervical slope, and thoracic inlet angle before and after using the pillow. Results Finite element analysis indicated that the maximum stress on vertebral bodies increased by 64.35% and the maximum stress on cartilage tissues by 5.09% after using the pillow. The Borden value improved by 45.75%. Clinical studies showed a significant reduction in VAS scores, NDI, and PPT after treatment (P<0.05), while PPT, Borden value, cervical lordosis, T1 slope, and thoracic inlet angle significantly increased (P<0.05). Conclusion The 3D-printed personalized cervical correction pillow is safe and effective in alleviating neck pain and improving cervical curvature. It provides a new and effective non-surgical treatment option for cervical spondylotic radiculopathy, with significant clinical implications.

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李娅,吴云成,吴昭昭,马寻君,刘家齐,蒋拥军,王金武.3D打印个性化颈椎矫治枕的有限元分析及临床应用[J].医用生物力学,2025,40(1):118-125

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  • 收稿日期:2024-07-15
  • 最后修改日期:2024-08-13
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  • 在线发布日期: 2025-02-26
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