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[舌咽神经、迷走神经、副神经及舌下神经的功能解剖]

[Functional anatomy of the glossopharyngeal, vagus, accessory and hypoglossal cranial nerves].

作者信息

Simon E, Mertens P

机构信息

Service de neurochirurgie A, hôpital neurologique Pierre-Wertheimer, hospices civils de Lyon, 69003 Lyon, France.

出版信息

Neurochirurgie. 2009 Apr;55(2):132-5. doi: 10.1016/j.neuchi.2009.01.018. Epub 2009 Mar 21.

Abstract

The glossopharyngeal nerve and the vagus nerve are mixed nerves containing sensory, gustatory, motor and autonomous fibers (parasympathetic). The glossopharyngeal nerve has mainly visceral afferent fibers from the tongue and pharynx, gustatory fibers from the posterior third of the tongue, parasympathetic afferent fibers from carotid sinus and carotid glomus, parasympathetic efferent fibers for the parotid gland and motor fibers for the muscles of the pharynx. The vagus nerve contains mostly visceral afferent fibers from laryngeal, intrathoracic and abdominal organs, parasympathetic efferent fibers for these intrathoracic and abdominal organs and motor fibers to the pharyngeal and laryngeal muscles. The accessory nerve is divided into two branches, different in their origins and their functions: the cranial portion joins the motor fibers of the vagus nerve, to form the recurrent laryngeal nerve, whereas the spinal portion innervates the sternocleidomastoid muscle and the trapezius muscle. Finally, the hypoglossal nerve is the main motor nerve of the tongue.

摘要

舌咽神经和迷走神经是混合神经,包含感觉、味觉、运动和自主神经纤维(副交感神经)。舌咽神经主要有来自舌和咽的内脏传入纤维、来自舌后三分之一的味觉纤维、来自颈动脉窦和颈动脉体的副交感传入纤维、支配腮腺的副交感传出纤维以及支配咽部肌肉的运动纤维。迷走神经主要包含来自喉、胸腔和腹腔器官的内脏传入纤维、支配这些胸腔和腹腔器官的副交感传出纤维以及支配咽和喉肌肉的运动纤维。副神经分为两个分支,其起源和功能不同:颅部与迷走神经的运动纤维相连,形成喉返神经,而脊髓部支配胸锁乳突肌和斜方肌。最后,舌下神经是舌的主要运动神经。

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