三维立体摄影测量在A型肉毒毒素注射治疗良性咬肌肥大效果观察中的应用  

Quantitative analysis based on three-dimensional stereophotogrammetry in the observation of curative effect of botulinum toxin A on masseter hypertrophy

作　　者：薛紫涵[1] 曾玮[1] 陈召阳 韩岩[1] 

机构地区：[1]解放军总医院整形外科,北京100853

出　　处：《中华整形外科杂志》2016年第4期272-275,共4页Chinese Journal of Plastic Surgery

摘　　要：目的 探讨三维立体摄影测量技术在A型肉毒毒素治疗良性咬肌肥大效果观察中的应用.方法 对2013年5月至2014年8月注射A型肉毒毒素治疗良性咬肌肥大的46例受术者、92侧咬肌作为研究对象,采用韩国iCare公司推出的最新的MAS 3D智能成像系统随访观察其注射前、注射后3、6、9个月咬肌和面部形态变化情况.结果 MAS 3D测量面颊体积,注射后3个月比注射前减少了7.23％,注射后6个月减少了2.15％,注射后9个月体积与注射前无差异;MAS 3D测量面部各连线宽度差值,注射后3个月与注射前比较,增大40.21％,注射后6个月增大21.03％,注射后9个月与注射前没有明显差异.结论 三维立体摄影测量技术,为我们观察A型肉毒毒素注射治疗良性咬肌肥大的效果提供了安全、方便、直观的新途径.Objective To observe the curative effect of botulinum toxin A on masseter hypertrophy using three-dimensional stereophotogrammetry.Methods 46 cases with masseter hypertrophy （92 masseters） who received botulinum toxin A injection were enrolled from May 2013 to August 2014.Data were collected before and 3,6 and 9 months after injection.Results The efficacy of botulinum toxin A in reducing the volume of the lower face has been proven by MAS 3D.3 and 6 months after injection,the volume reduction were measured as 7.23 %,2.15% respectively （P 〈 0.05）.The coefficients between middle and lower thirds of the face showed an increase compatible with thinning of the lower face with statistical significance at 3 months follow up.The increase percentage was measured by MAS 3D as 40.21% between pre-and post-injection （P 〈 0.05）,and the increase percentage was 21.03% at 6 months follow up （P 〈 0.05）.While 9 months after injection,the value was insignificant comparing to pretreatment at 9 months.Conclusions Three-dimensional stereophotogrammetry provides a safe effective and direct way to observe masseter hypertrophy.

关 键 词：咬肌 A型肉毒毒素 成像 三维 

分 类 号：R622[医药卫生—整形外科]