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颈动脉内膜切除术期间周围颅神经损伤。

Injury of the peripheral cranial nerves during carotid endarterectomy.

作者信息

Theodotou B, Mahaley M S

出版信息

Stroke. 1985 Sep-Oct;16(5):894-5. doi: 10.1161/01.str.16.5.894.

DOI:10.1161/01.str.16.5.894
PMID:4049454
Abstract

The incidence of local nerve injury among 192 consecutive carotid endarterectomies in 162 patients between 1977-1983 was determined from review of the medical records. Two facial nerve, 5 hypoglossal nerve, and 2 vagus nerve injuries were discovered for a total incidence of 4.7%. Only the 2 facial nerve injuries failed to improve over 2 years. Followup ranged from 1 to 60 months in this group of patients. Careful attention to details of tissue dissection at surgery should lower the incidence of nerve injury during carotid endarterectomy.

摘要

通过查阅病历,确定了1977年至1983年间162例患者连续接受的192例颈动脉内膜切除术患者中局部神经损伤的发生率。发现2例面神经、5例舌下神经和2例迷走神经损伤,总发生率为4.7%。只有2例面神经损伤在2年内未改善。该组患者的随访时间为1至60个月。在手术中仔细注意组织解剖细节应能降低颈动脉内膜切除术期间神经损伤的发生率。

相似文献

1
Injury of the peripheral cranial nerves during carotid endarterectomy.颈动脉内膜切除术期间周围颅神经损伤。
Stroke. 1985 Sep-Oct;16(5):894-5. doi: 10.1161/01.str.16.5.894.
2
Cranial nerve injuries after carotid artery endarterectomy.颈动脉内膜切除术后的颅神经损伤
South Med J. 1988 Aug;81(8):1006-9. doi: 10.1097/00007611-198808000-00016.
3
Peripheral nerve injuries during carotid endarterectomy.颈动脉内膜切除术期间的周围神经损伤。
Can J Surg. 1987 Jan;30(1):22-4.
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Cranial and cervical nerve damage associated with carotid endarterectomy.与颈动脉内膜切除术相关的颅神经和颈神经损伤
Br J Surg. 1983 Jun;70(6):365-8. doi: 10.1002/bjs.1800700619.
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Cranial nerve paralysis following carotid endarterectomy.
Stroke. 1984 Jan-Feb;15(1):157-9. doi: 10.1161/01.str.15.1.157.
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Cranial nerve injuring during carotid endarterectomy.颈动脉内膜切除术期间的脑神经损伤。
Ann Surg. 1977 Feb;185(2):192-5. doi: 10.1097/00000658-197702000-00010.
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Cranial nerve injury during carotid arterial reconstruction.
J Neurol. 1983;230(2):131-5. doi: 10.1007/BF00313640.
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Cranial nerve injuries following carotid endarterectomy: an analysis of 336 procedures.
Head Neck. 1991 Mar-Apr;13(2):121-4. doi: 10.1002/hed.2880130207.
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Incidence of cranial nerve injuries after carotid eversion endarterectomy with a transverse skin incision under regional anaesthesia.区域麻醉下采用横向皮肤切口行颈动脉外翻内膜切除术后脑神经损伤的发生率。
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[Iatrogenic lesions of cranial nerves during endarterectomy of the carotid artery].
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Isolated hypoglossal nerve palsy caused by carotid artery aneurysm.由颈动脉动脉瘤引起的孤立性舌下神经麻痹。
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