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功能性电刺激失神经环杓后肌的动态研究
引用本文:温武 余永伟. 功能性电刺激失神经环杓后肌的动态研究[J]. 听力学及言语疾病杂志, 1998, 6(4): 169-171
作者姓名:温武 余永伟
作者单位:第二军医大学长海医院耳鼻咽喉科!上海200433(温武,周水淼,李兆基,黄海),第二军医大学长海医院病理科(余永伟)
摘    要:为了研究电起搏器对失神经后不同时期环杓后肌的作用,我们选用14只狗分为喉返神经切断及吻合两组,分别在手术后即刻、2周、1、2、4、8、12个月进行观察,结果发现在神经切断及吻合即刻环杓后肌电刺激强度阈值较低(2伏),2周后达最高峰(7~10伏),4个月后,神经吻合组恢复到最初水平,神经切断组维持在6伏左右,并发现随病程延长环杓后肌萎缩加重.因此,电起搏器一定刺激强度在一定时间内对恢复萎缩环杓后肌的功能是有效的.

关 键 词:电起搏器  喉返神经麻痹  环杓后肌  

Dynamic Study on Functional Electrical Stimulation of Denervated Posterior Cricoarytenoid Muscle
Wen Wu,Zhou Shuimiao,Li Zhaoji,et al.. Dynamic Study on Functional Electrical Stimulation of Denervated Posterior Cricoarytenoid Muscle[J]. Journal of Audiology and Speech Pathology, 1998, 6(4): 169-171
Authors:Wen Wu  Zhou Shuimiao  Li Zhaoji  et al.
Abstract:In order to study the reactivity of denervated posterior cricoarytenoid muscle of different time to electrical stimulation and explore the possibility of clinical application of laryngeal pacing, 14 dogs were examined at 0,2 weeks, 1, 2, 4, 8, 12 months after recurrent laryngeal nerve was damaged by a 2 - cm neurectomy, or dissection followed by resuturing. The results showed that the minimum threshold level to induce vocal cord abduction was 2 V at time after nerve injury, and the threshold level reached the maximum (7 or 10 V)at 2 weeks after nerve injury , then decrease with time, and recover initial level in each case of nerve resuturing group or keep about 6 V in neurectomy group 4 months after nerve injury. It was concluded that electrical pacing was effective to restore function of denervated posterior cricoarytenoid muscle.
Keywords:Electrical pacing Recurrent laryngeal nerve paralysis Posterior cricoarytenoid muscle Dogs
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