Dyer K R, Duncan I D
School of Veterinary Medicine, University of Wisconsin, Madison 53706.
Brain. 1987 Dec;110 ( Pt 6):1531-43. doi: 10.1093/brain/110.6.1531.
The intraneural course of nerve fibres in the equine recurrent laryngeal nerve was investigated by partially ligating the nerve at a proximal site, and 3-8 weeks later, tracing the course and spatial relationships of intact and degenerating fibres along the distal stump. This nerve was chosen because of its great length, the fact that it is a nonbranching motor nerve and because of debate about the course of abductor and adductor nerve fibres in the recurrent laryngeal nerve. Six ponies were used and in each the recurrent nerve was partially ligatured about 20 cm from the larynx, using a fine silk suture. In all there was a clear separation of intact and degenerating fibres just distal to the suture, but they became mixed close to the point of innervation of the laryngeal muscles. The numbers of intact myelinated fibres remained similar along the partially denervated nerve segment. These results suggest that myelinated fibres mix within the recurrent laryngeal nerve and that focal lesions of this nerve should not result in denervation of individual laryngeal muscles.
通过在近端部位对马的喉返神经进行部分结扎,并在3 - 8周后追踪完整纤维和退变纤维沿远端残端的走行及空间关系,研究了马喉返神经中神经纤维的神经内走行。选择这条神经是因为它长度较长,是一条无分支的运动神经,且关于喉返神经中展肌和内收肌神经纤维的走行存在争议。使用了6匹小马,每匹马中,在距喉部约20 cm处用细丝线对喉返神经进行部分结扎。在所有实验中,在缝线远端完整纤维和退变纤维有明显分离,但在接近喉肌支配点处它们混合在一起。在部分去神经的神经节段中,完整有髓纤维的数量保持相似。这些结果表明,有髓纤维在喉返神经内混合,并且该神经的局灶性病变不应导致单个喉肌的去神经支配。