[1]唐 烨,蒋 林,蒋成明,等.青少年特发性脊柱侧弯患者肩部失平衡的美学评估特征及其评价标准探析[J].中国美容医学,2024,(10):97-100.
　TANG Ye,JIANG Lin,JIANG Chengming,et al.Analysis of Aesthetic Evaluation Characteristics and Evaluation Criteria of Shoulder Imbalance in Adolescent Idiopathic Scoliosis Patients[J].Medical Aesthetics and Beauty,2024,(10):97-100.
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青少年特发性脊柱侧弯患者肩部失平衡的美学评估特征及其评价标准探析()
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2024年10期
页码:
97-100
栏目:
出版日期:
2024-09-26

文章信息/Info

Title:
Analysis of Aesthetic Evaluation Characteristics and Evaluation Criteria of Shoulder Imbalance in Adolescent Idiopathic Scoliosis Patients
文章编号:
1008-6455（2024）10-0097-04
作者:
唐 烨; 蒋 林; 蒋成明; 王惟达; 周 乾
[
Author(s):
TANG Ye;  JIANG Lin;  JIANG Chengming;  WANG Weida;  ZHOU Qian
( Department of Spine Surgery, Changsha First Hospital, Changsha 410005, Hunan, China )
关键词:
青少年特发性脊柱侧弯; 肩部失平衡; 美学评估特征; 评价标准
Keywords:
adolescent idiopathic scoliosis;  shoulder imbalance;  aesthetic evaluation characteristics;  evaluation criterion
分类号:
R622
文献标志码:
A
摘要:
目的：探讨青少年特发性脊柱侧弯（Adolescent idiopathic scoliosis，AIS）患者肩部失平衡的美学评估特征，并 部照片，同期选取50名观察者对这些背部照片的肩部失平衡情况作出接受或者不接受评价；一名独立研究员将AIS患者背部 照片划分为颈部、肩部以及腋窝3个区域，并测量出9个可能影响躯干肩部失平衡的美学变量；绘制ROC曲线分析上述数据的 显著性。结果：50名观察者对48张背部照片的评价中，一致性≥80%的有31例（64.58%），其中19例（61.29%）评价为肩部 失平衡，12例（38.71%）评价为肩部平衡。19例肩部失平衡组患者的ROC曲线分析显示：颈底角、斜方肌角度差、肩水平 角、腋窝皱襞角、肩胛角及手臂宽度比值均P＜0.05，截断值分别为7.35°、8.43°、4.68°、7.63°、7.01°及0.43。 12例肩部平衡组患者ROC曲线分析显示：腋窝皱襞角、肩胛角及手臂宽度比值均P＜0.05，截断值分别为3.98°、3.81° 及0.39。结论：AIS患者背侧照片的颈部、肩部及腋窝3个区域中颈底角、斜方肌角度差、肩水平角、腋窝皱襞角、肩胛角及 手臂宽度比值6个变量可作为评估AIS患者肩部失平衡的美学特征变量，腋窝皱襞角、肩胛角及手臂宽度比值3个变量可作为 评估AIS患者肩部平衡的美学特征变量，并且每个区域都有一个特定的截断值来界限美学上的接受与不接受。
Abstract:
Objective To explore the aesthetic evaluation characteristics of shoulder imbalance in patients with adolescent idiopathic scoliosis (AIS) and analyze evaluation criteria. Methods 48 adolescent idiopathic scoliosis patients admitted to the author’s hospital from February 2020 to April 2023 were included as the study subjects, and preoperative back photos of all patients were collected. At the same time, 50 observers were selected to evaluate the shoulder imbalance in these back photos, whether they accepted or not. An independent researcher divided the back photos of AIS patients into three regions: neck, shoulder and axillas, and measured 9 aesthetic variables that may aff ect the imbalance of the trunk and shoulder. Draw ROC curves to analyze the signifi cance of the above data. Results Among the 48 back photos evaluated by 50 observers, 31 cases (64.58%) had a consistency of ≥80%, of which 19 cases (61.29%) were evaluated as shoulder imbalance and 12 cases (38.71%) were evaluated as no shoulder imbalance. The ROC curve analysis of 19 patients with shoulder imbalance group showed that the ratios of neck bottom angle, trapezius angle diff erence, shoulder horizontal angle, axillary fold angle, scapular angle and arm width were all P＜0.05, and their truncation values were 7.35°, 8.43°, 4.68°, 7.63°, 7.01° and 0.43 respectively. ROC curve analysis of 12 patients with shoulder balance group showed that the ratio of axillary plica angle, scapular angle and arm width was all P＜0.05, and their truncation values were 3.98°, 3.81°and 0.39 respectively. Conclusion Among the three areas in the patient’s dorsal photos of the neck, shoulder, and armpit: the angle diff erence between the base of the neck, trapezius muscle, shoulder horizontal angle, axillary fold angle, scapular angle, and arm width ratio, six variables can be used as aesthetic characteristic variables to evaluate shoulder imbalance in AIS patients. The three variables of axillary fold angle, scapular angle, and arm width ratio can be used as aesthetic characteristic variables to evaluate shoulder balance in AIS patients. And each region has a specifi c cutoff value to defi ne aesthetic acceptance and non acceptance.
更新日期/Last Update: 2024-10-08