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与颈动脉内膜切除术相关的颅神经和颈神经损伤

Cranial and cervical nerve damage associated with carotid endarterectomy.

作者信息

Dehn T C, Taylor G W

出版信息

Br J Surg. 1983 Jun;70(6):365-8. doi: 10.1002/bjs.1800700619.

DOI:10.1002/bjs.1800700619
PMID:6860913
Abstract

Carotid endarterectomy may be complicated by damage to the adjacent cranial and cervical nerves. The true incidence and severity of these complications is rarely reported. In a prospective study of 43 carotid endarterectomies there was a 25 per cent incidence of temporary vocal cord palsy, 5 per cent incidence of hypoglossal nerve damage and anaesthesia of the greater auricular and transverse cervical nerves was found in 60 per cent and 69 per cent of patients respectively 1 week postoperatively. There was some recovery of these nerve injuries over a 6-month period.

摘要

颈动脉内膜切除术可能会因损伤相邻的颅神经和颈神经而出现并发症。这些并发症的实际发生率和严重程度鲜有报道。在一项对43例颈动脉内膜切除术的前瞻性研究中,术后1周时,暂时性声带麻痹的发生率为25%,舌下神经损伤的发生率为5%,分别有60%和69%的患者出现耳大神经和颈横神经感觉缺失。在6个月的时间里,这些神经损伤有一定程度的恢复。

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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
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Incidence, outcomes, and effect on quality of life of cranial nerve injury in the Carotid Revascularization Endarterectomy versus Stenting Trial.颈动脉血运重建内膜切除术与支架置入术试验中颅神经损伤的发生率、结局及对生活质量的影响
J Vasc Surg. 2015 May;61(5):1208-14. doi: 10.1016/j.jvs.2014.12.039. Epub 2015 Mar 12.
3
Isolated palsy of the hypoglossal nerve after central venous catheterization.
中心静脉置管后舌下神经孤立性麻痹
Br Med J (Clin Res Ed). 1984 Apr 7;288(6423):1042-3. doi: 10.1136/bmj.288.6423.1042-a.
4
Pharyngeal function after carotid endarterectomy.颈动脉内膜切除术后的咽功能
Dysphagia. 1989;4(3):151-4. doi: 10.1007/BF02408038.
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Anatomical basis of the anterior cervical spine approach: topographic study of the nerve structure.颈椎前路手术入路的解剖学基础:神经结构的断层解剖学研究
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