第31卷第9期中国矫形外科杂志Vol.31.No.92023年5月Orthopedic Journal of ChinaMay.2023·专家共识·3D打印儿童脑瘫下肢矫形器专家共识△郑朋飞*，王金武(1.南京医科大学附属儿童医院骨科，江苏南京210008：2.上海交通大学医学院附属第九人民医院骨科，上海200011)摘要：随者新生儿重症救治技术的发展，更多低胎龄、低体重及危重婴儿得以存活，脑瘫发病率有上升趋势。大量研究证明，下肢矫形器的佩戴对提高脑瘫患儿运动功能和改善姿势方面有非常重要的作用，能够限制踝关节跖屈、膝关节反张、膝关节屈曲，进一步提高行走速度并增加步行稳定性，达到改善步态的目的。而3D打印则是实现个性化定制的工艺，并可以结合计算机辅助设计、力学仿真等现代矫形技术赋予其更优性能。本文由19位骨科和康复专家针对3D打印儿童下肢矫形器进行讨论，形成共识，涉及3D打印儿童脑瘫下肢矫形器的定义、分类、适应证、设计、制备，以及使用全周期的临床监管。关键词：儿童，脑瘫，下肢，矫形器，3D打印中图分类号：687文献标志码：A文章编号：1005-8478(2023)09-0774-07Expert consensus recommendations for 3D-printed orthotics of lower limb for cerebral palsy in children//ZHENG Peng-fei.WANG Jin-wu.1.Department of Onthopedics,Children's Hospital of Nanjing Medical University,Nanjing 210008.China:2 Depart-ment of Orthopedics,Ninth People's Hospital,School of Medicine,Shanghai Jiao Tong University,Shanghai 200011,ChinaAbstract:With the development of neonatal intensive care techniques,more and more infants with low gestational age,low body weightand in critical condition do survive,whereas which maybe also lead upgrading incidence of cerebral palsy (CP).A large number of studieshave proved that the wearing of lower limb orthotics plays a very important role in improving the motor function and posture of CP children.Itcan be used to limit ankle plantar flexion,knee recurvature and knee flexion,further improve walking speed and increase walking stability,and achieve the purpose of improving gait.The 3D printing is a personalized and customized process,and can be combined with computeraided design,mechanical simulation and other modern corrective techniques to give the orthotics better performance.In this article,19 ex-perts in orthopaedics,rehabilitation and related fields discussed on the issue of 3D printed orthoses for lower extremity of the CP childrenand formed a consensus,involving definition,classification,design,manufacture and apply indication of 3D orthoses,as well as clinical su-pervision of whole application cycle.Key words:children,cerebral palsy,lower extremity,orthotics,3D printing脑性瘫痪(cerebral palsy,CP),简称脑瘫，是一肢瘫、痉李型双瘫、痉李型偏瘫、不随意运动型、共种由发育中的胎儿或婴幼儿脑部非进行性损伤引起，济失调型和混合型。脑瘫患儿常伴有肌张力增高，以中枢性运动和姿势发育障碍、活动受限为特征的一呈痉李性瘫痪，甚至出现强直、腱反射亢进等。组症候群山，临床表现多样、复杂，严重影响儿童的脑瘫患儿需进行综合治疗，采用适合不同年龄阶身心健康。近年来，随者新生儿重症监护病房(neo段的干预措施进行全面康复，结合融合式教育则可以natal intensive care unit,.NICU)的建立，更多低胎提高患儿认知能力等[。下肢矫形器的佩戴对提高脑龄、低体重及危重婴儿得以存活，脑瘫发病率有上升瘫患儿运动功能和改善姿势方面有非常重要的作用，趋势。中国0-6岁脑瘫的患病率约为02%回，我国能够限制踝关节跖屈、膝关节反张、膝关节屈曲，进脑瘫的发病人数每年不少于600万[)，脑瘫分型尚不一步提高行走速度并增加步行稳定性，达到改善步态统一，根据运动障碍特征，可将脑瘫分为：痉孪型四的目的。个性化定制矫形器不仅具有舒适度高、依从D0L10.39776.ikn.1005-8478.2023.09.02△基金项目：江苏省重点研发计划（社会发展）项目（编号：E2019608):国家重点研发计划重点专项（编号：2020Y℉BI711505):上海市科委项目（编号：19441917500.19441908700)◆通信作者联系方式：郑朋飞，（电话）17798561827，（电子信箱）z小engpengfei@njmu.edu.cn:王金武，（电话）13301773680，（电子信箱）jinwu_wan@163.00m774(C)1994-2023 China Academic Journal Electronic Publishing House.All rights reserved.http://www.cnki.net
