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中华普通外科学文献(电子版) ›› 2019, Vol. 13 ›› Issue (04) : 324 -326. doi: 10.3877/cma.j.issn.1674-0793.2019.04.018

所属专题: 文献

综述

A型肉毒毒素在复杂腹壁缺损治疗中的应用
汤福鑫1, 马宁1, 周太成1,(), 陈双1   
  1. 1. 510655 广州,中山大学附属第六医院胃肠、疝和腹壁外科 广东省结直肠盆底疾病研究重点实验室
  • 收稿日期:2018-07-26 出版日期:2019-08-01
  • 通信作者: 周太成
  • 基金资助:
    广东省科技计划项目(2017A020215036); 中山大学附属第六医院人才引进科研启动经费资助项目(P20150217201802102)

Application of botulinum toxin type A in complex abdominal wall defects

Fuxin Tang1, Ning Ma1, Taicheng Zhou1,(), Shuang Chen1   

  1. 1. Department of Gastroenterogy, Hernia and Abdominal Wall Surgery, the Sixth Affiliated Hospital, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Disease, Guangzhou 510655, China
  • Received:2018-07-26 Published:2019-08-01
  • Corresponding author: Taicheng Zhou
  • About author:
    Corresponding author: Zhou Taicheng, Email:
引用本文:

汤福鑫, 马宁, 周太成, 陈双. A型肉毒毒素在复杂腹壁缺损治疗中的应用[J/OL]. 中华普通外科学文献(电子版), 2019, 13(04): 324-326.

Fuxin Tang, Ning Ma, Taicheng Zhou, Shuang Chen. Application of botulinum toxin type A in complex abdominal wall defects[J/OL]. Chinese Archives of General Surgery(Electronic Edition), 2019, 13(04): 324-326.

腹壁缺损的修复与重建一直是研究的难点,尤其是复杂腹壁缺损。各种腹壁外科技术及补片材料的出现,为腹壁缺损的治疗带来了更多的选择。但对于合并腹壁功能不全的复杂巨大腹壁缺损的治疗,仍然是一个具有挑战性的问题。A型肉毒毒素(BTA)侧腹壁肌肉注射由于能够麻痹侧腹壁肌肉、缩小腹壁缺损,在腹壁缺损治疗领域成为研究的热点之一。本文结合笔者临床应用的经验,就BTA在复杂腹壁缺损治疗中的应用作一综述。

It is difficult for surgeons to repair and reconstruct abdominal wall defects, especially the complex abdominal wall defects. Various abdominal wall surgical techniques and mesh materials have brought more options for the treatment of abdominal wall defects. However, the treatment of complex and large abdominal wall defects with abdominal wall dysfunction remains a challenge. Botulinum toxin type A (BTA) injection into the lateral abdominal wall muscles has become one of the hot spots in the treatment field of abdominal wall defects because it can paralyze the abdominal wall muscles and narrow the abdominal wall defects. Based on the clinical experience, this article reviews the application of BTA in the treatment of complex abdominal wall defects.

图1 BTA腹壁注射位点
图2 超声引导下行侧腹壁肌BTA注射 A为超声引导下定位三层侧腹壁肌肉;B为超声引导下对腹横肌行BTA注射
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