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颈动脉内膜切除术期间的脑神经损伤。

Cranial nerve injuring during carotid endarterectomy.

作者信息

Verta M J, Applebaum E L, McClusky D A, Yao J S, Bergan J J

出版信息

Ann Surg. 1977 Feb;185(2):192-5. doi: 10.1097/00000658-197702000-00010.

DOI:10.1097/00000658-197702000-00010
PMID:836092
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1396103/
Abstract

Injury to the greater auricular, hypoglossal and superior laryngeal nerves during carotid endarterectomy is preventable. A knowledge of regional anatomy and the mechanisms of such injury allows prevention of this complication. Unilateral individual nerve injury is generally well tolerated, but bilateral or combined nerve injuries can pose a serious threat to life. Minor modifications in technique aid greatly in avoiding nerve injury.

摘要

在颈动脉内膜切除术期间，耳大神经、舌下神经和喉上神经的损伤是可以预防的。了解局部解剖结构以及此类损伤的机制有助于预防这种并发症。单侧单个神经损伤通常耐受性良好，但双侧或合并神经损伤可能对生命构成严重威胁。技术上的微小改进对避免神经损伤有很大帮助。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfc9/1396103/129d2d6bace8/annsurg00373-0066-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfc9/1396103/129d2d6bace8/annsurg00373-0066-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfc9/1396103/129d2d6bace8/annsurg00373-0066-a.jpg

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[Management of iatrogenic lesions of the spinal accessory nerve].[副神经医源性损伤的处理]
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Early and late results of carotid endarterectomy: retrospective study of 70 operations.颈动脉内膜切除术的早期和晚期结果：70例手术的回顾性研究

本文引用的文献

1
Surgical treatment for occlusive disease of the carotid artery.颈动脉闭塞性疾病的外科治疗
Ann Surg. 1968 Jul;168(1):85-94. doi: 10.1097/00000658-196807000-00010.
2
Surgical approach to carotid arterial insufficiency. Risks and results.颈动脉供血不足的手术治疗方法。风险与结果。
Ann Thorac Surg. 1966 Sep;2(5):640-8. doi: 10.1016/s0003-4975(10)66633-7.
3
Results of carotid endarterectomies for transient ischemic attacks-five years later.短暂性脑缺血发作患者行颈动脉内膜切除术五年后的结果。
Sao Paulo Med J. 2001 Nov 1;119(6):206-11. doi: 10.1590/s1516-31802001000600005.
4
Motor speech deficit following carotid endarterectomy.颈动脉内膜切除术后的运动性言语缺陷。
Ann Surg. 1982 Oct;196(4):461-4. doi: 10.1097/00000658-198210000-00009.
5
[Surgery of the nerves of the neck, nose, and ear region (except Nn. stato-acusticus and olfactorius) (author's transl)].[颈部、鼻及耳部区域神经外科手术（不包括位听神经和嗅神经）（作者译）]
Arch Otorhinolaryngol. 1981;231(1):89-449. doi: 10.1007/BF00465558.
6
Cranial nerve injury during carotid arterial reconstruction.
J Neurol. 1983;230(2):131-5. doi: 10.1007/BF00313640.
7
Complications of carotid endarterectomy and their prevention.颈动脉内膜切除术的并发症及其预防
World J Surg. 1979 Jul 16;3(2):155-65. doi: 10.1007/BF01561265.
Ann Surg. 1973 Sep;178(3):258-64. doi: 10.1097/00000658-197309000-00004.
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The hypoglossal nerve in carotid arterial reconstructions.颈动脉重建术中的舌下神经
Stroke. 1972 Sep-Oct;3(5):576-8. doi: 10.1161/01.str.3.5.576.
5
Bilateral hypoglossal-nerve palsy following a second carotid endarterectomy.第二次颈动脉内膜切除术后双侧舌下神经麻痹
Anesthesiology. 1975 Nov;43(5):595-6. doi: 10.1097/00000542-197511000-00026.