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[喉返神经损伤后喉内肌的特征]

[Characteristics of intrinsic laryngeal muscle after recurrent laryngeal nerve injury].

作者信息

Xu Wen, Zhao Gongwei, Hu Huiying, Fan Erzhong

机构信息

Department of Otorhinolaryngology-Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China.

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2009 May;23(9):403-6.

Abstract

OBJECTIVE

To investigate the electrophysiological characteristics and pathological changes in different recurrent laryngeal nerve injury models.

METHOD

Twenty dogs were divided into different models of recurrent laryngeal nerve injury. Electrophysiological changes of animal models and histopathological changes in laryngeal muscles were investigated at different time.

RESULT

Amplitude of MUP in TA decreased at first and then increased a little, while duration of MUP keeps decreased. The latent periods of the evoked potential in the incomplete injury group increased at first and then went down. In animal histopathological investigation, the lighter of the muscle injuries and the bigger of the diameter of muscle fibers and fascicles, and the smaller of the number of cellular nucleolus per square inch. In the early periods after injury, the correlation among the standard amplitude, threshold amplitude, maximum amplitude of EP and the diameter of fascicles were positive; while in the late period, the correlation among the amplitude, duration, area of MUP and nucleolus number was positive.

CONCLUSION

The physiological characteristics of laryngeal nerves and muscles could be known. LEMG was an important method in diagnosis of laryngeal nerve and muscle diseases.

摘要

目的

探讨不同喉返神经损伤模型的电生理特征及病理变化。

方法

将20只犬分为不同的喉返神经损伤模型。在不同时间点观察动物模型的电生理变化及喉肌的组织病理学变化。

结果

趾长伸肌运动单位电位(MUP)波幅先降低后略有升高,而MUP时限持续降低。不完全损伤组诱发电位潜伏期先延长后下降。在动物组织病理学检查中,肌肉损伤越轻,肌纤维和肌束直径越大,每平方英寸细胞核仁数量越少。损伤早期,诱发电位标准波幅、阈波幅、最大波幅与肌束直径呈正相关;后期,MUP波幅、时限、面积与核仁数量呈正相关。

结论

可了解喉神经和肌肉的生理特征。肌电图是诊断喉神经和肌肉疾病的重要方法。

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