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影像引导下术前腹壁肉毒素注射用于大型腹疝修补术：病例系列

Image guided preoperative abdominal wall botox injection for large ventral hernia repair: A case series.

作者信息

Motii Younes, Chahrour Hussein, Harb Ali

机构信息

Wayne State University School of Medicine, 540 E Canfield St, Detroit, MI 48201, USA.

Detroit Medical Center/Wayne State University, Diagnostic Radiology, 4100 John R St, Detroit, MI 48201, USA.

出版信息

Radiol Case Rep. 2024 Mar 21;19(6):2315-2322. doi: 10.1016/j.radcr.2024.02.079. eCollection 2024 Jun.

DOI:10.1016/j.radcr.2024.02.079
PMID:38559652
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10978449/
Abstract

This case series aims to explore the application of preoperative CT guided Botox injections in three different cases of abdominal wall reconstructions. Each of the three cases highlights the role of chemical component separation in achieving myofascial release and contributing to a successful surgical repair. The use of Botox in the preoperative planning of abdominal wall repair aims at creating a tension-free environment for midline closure and promoting an overall positive postoperative course for the patient. This case series presents as a valuable contribution to the different surgical approaches in abdominal wall reconstruction and the collaboration between Interventional Radiology and Surgery in treating such patients.

摘要

本病例系列旨在探讨术前CT引导下肉毒杆菌毒素注射在三例不同腹壁重建病例中的应用。这三例病例均凸显了化学成分分离在实现肌筋膜松解及助力手术成功修复方面的作用。在腹壁修复术前规划中使用肉毒杆菌毒素旨在为中线闭合创造无张力环境，并促进患者术后整体恢复良好。本病例系列为腹壁重建的不同手术方法以及介入放射学与外科在治疗此类患者中的协作做出了宝贵贡献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/313a/10978449/0a142af24a62/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/313a/10978449/5b9e0d386b34/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/313a/10978449/89a8c2365c24/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/313a/10978449/625cdfe471f1/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/313a/10978449/bd07719d2da1/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/313a/10978449/057f14799eb8/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/313a/10978449/b2adc0a9780a/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/313a/10978449/458b01c5ac11/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/313a/10978449/2c7f0f152f7a/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/313a/10978449/f5c7820e4f9d/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/313a/10978449/0a142af24a62/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/313a/10978449/5b9e0d386b34/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/313a/10978449/89a8c2365c24/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/313a/10978449/625cdfe471f1/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/313a/10978449/bd07719d2da1/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/313a/10978449/057f14799eb8/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/313a/10978449/b2adc0a9780a/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/313a/10978449/458b01c5ac11/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/313a/10978449/2c7f0f152f7a/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/313a/10978449/f5c7820e4f9d/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/313a/10978449/0a142af24a62/gr10.jpg

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Cureus. 2023 Mar 3;15(3):e35744. doi: 10.7759/cureus.35744. eCollection 2023 Mar.
2
Usefulness of dynamic ultrasound in the diagnosis of epigastric herniation of stomach.动态超声在胃上腹部疝诊断中的应用价值
Ultrasound. 2022 May;30(2):162-166. doi: 10.1177/1742271X211026013. Epub 2021 Jul 16.
3
The Use of Botulinum Toxin in Complex Hernia Surgery: Achieving a Sense of Closure.肉毒杆菌毒素在复杂疝修补手术中的应用：实现闭合感
Front Surg. 2021 Oct 1;8:753889. doi: 10.3389/fsurg.2021.753889. eCollection 2021.
4
Botulinum Toxin in the Surgical Treatment of Complex Abdominal Hernias: A Surgical Anatomy Approach, Current Evidence and Outcomes.肉毒杆菌毒素在复杂腹部疝手术治疗中的应用：一种外科解剖方法、现有证据和结果。
In Vivo. 2021 Jul-Aug;35(4):1913-1920. doi: 10.21873/invivo.12457.
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Usefulness of doppler techniques in the diagnosis of peripheral iatrogenic pseudoaneurysms secondary to minimally invasive interventional and surgical procedures: imaging findings and diagnostic performance study.多普勒技术在微创介入和手术治疗后外周医源性假性动脉瘤诊断中的应用：影像学表现和诊断性能研究。
J Ultrasound. 2020 Dec;23(4):563-573. doi: 10.1007/s40477-020-00475-6. Epub 2020 May 20.
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