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用颈交感干和舌下神经袢再支配狗环杓后肌的研究
引用本文:艾望华 杨强 等. 用颈交感干和舌下神经袢再支配狗环杓后肌的研究[J]. 听力学及言语疾病杂志, 1995, 3(3): 122-126
作者姓名:艾望华 杨强 等
作者单位:[1]广州军区武汉总医院耳鼻咽喉科430070 [2]湖北医科大学附属第一医院耳鼻咽喉科
摘    要:将8只狗的右侧喉返神经及其内收支切断,再分别将其中4只狗的右侧颈交感神经干和2只狗的右侧舌下神经袢切断后,各将其近侧端和已切断的喉返神经的远侧端吻合,其余2只狗作为失神经支配的对照组。分别于术前、术后即刻及术后4个月行声门照像、肌电图观察,最后行环杓后肌肉眼及组织化学观察。实验结果证明:采用两种神经修复喉返神经均可部分恢复环杓后肌功能,论证了用颈交感神经干修复的机理及各种神经修复法的优缺点,为今后进一步的研究和临床应用提供理论依据。

关 键 词:喉返神经麻痹 神经再支配 环杓后肌 颈交感干 舌下神经袢

Reinnervation of the Canine Posterior Cricoarytenoid Muscles With Sympathetic Preganglionic Neurons and Ansa Hypoglossi
Ai Wanghua,Yang Qiang,Li Maiqun. Reinnervation of the Canine Posterior Cricoarytenoid Muscles With Sympathetic Preganglionic Neurons and Ansa Hypoglossi[J]. Journal of Audiology and Speech Pathology, 1995, 3(3): 122-126
Authors:Ai Wanghua  Yang Qiang  Li Maiqun
Abstract:The right recurrent laryngeal nerves were sectioned in eight dogs.With the right sympathetic cervical trunks in 4 and the right ansa hypoglossi in 2 cut off and then sutured with the sectioned caudal end of the recurrent laryngeal nerves. The remaining two served as denervated controls without neurorrhaphy as the above-mentioned.All of them underwent photolaryngoscopy and electromyography in the following interval:preoperative,immediately after postoperation,and four months later.Then the PCA muscles were observed,with naked eves and examined by the method of histochemistry.These results of our experiment proved that:Both the two reinnervational methods could partially resume the function of PCA muscles.The mechanism of reinnervation with sympathetic cervical trunks and the comparison of several repaired methods were discussed.It will provide the theoretical basis for further study and clinical application in future.
Keywords:Recurrent laryngeal nerve paralysis Reinnervation Posterior cricoarytenoid muscle Sympathetic cervical trunk Ansa hypoglossi
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