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替代神经吻合法治疗喉返神经麻痹的解剖学研究
引用本文:张玉和,姚班,徐鹏霄,贺智. 替代神经吻合法治疗喉返神经麻痹的解剖学研究[J]. 武警医学院学报, 1995, 0(1)
作者姓名:张玉和  姚班  徐鹏霄  贺智
作者单位:武警医学院解剖学教研室,武警医学院解剖学教研室,武警医学院解剖学教研室,武警医学院解剖学教研室 天津 300162,天津 300162,天津 300162,天津 300162
摘    要:通过对30例人喉神经、膈神经、颈袢的解剖观测及利用图象分析仪二维重建技术对相关神经的截面积、纤维数量的测量比较分析,结合有关实验研究资料,设计了在甲状软膏板后下方开窗,于甲杓肌神经起点处切断该神经,用颈袢主支与甲杓肌神经吻合,用膈神经与喉下神经吻合,同时重建声带的内收和外展功能,并探讨了其解剖和生理学基础,认为此手术方法治疗喉返神经麻痹比较理想和可行。

关 键 词:声带麻痹  喉神经  神经吻合术

ANATOMICAL RESEARCH ON TREATMENT OF PARALYSIS OF RECURRENT LARYNGEAL NERVE WITH ANASTOMOSIS SUBSTITUTIONAL NERVE
Zhang Yuhe Yao Ban Xu Pengxiao He Zhi. ANATOMICAL RESEARCH ON TREATMENT OF PARALYSIS OF RECURRENT LARYNGEAL NERVE WITH ANASTOMOSIS SUBSTITUTIONAL NERVE[J]. Acta Academiae Medicinae CPAPF, 1995, 0(1)
Authors:Zhang Yuhe Yao Ban Xu Pengxiao He Zhi
Abstract:Laryngeal, phrenic verves and cercical loops of 30 cases of human body had been searched,The section area and the fiber number of each nerve were counted and compared by means of image analysis techmique, We attempt to design a new poeration method,That is to open the posterior inferior part of the thyroid cartilage lamina,to cut the thyreoarygenoid nerve at its' begining, to make the anastomoses of cervical loop trunk with the nerve of thyreoarytenoid muscle, and adducent abilities of the vocal cord may be reconstructed. Author discussed physiological and anatomical bases in the paper,and thing this maybe and ideal and practicable method to cure the paralysis of laryngeal muscles.
Keywords:vocal cord paralysis  nerve anastomosis  laryngeal nerve
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