翼管神经切断术的原理与实践  

The principle and practice of vidian neurectomy

作　　者：赵长青[1] 孙希才 万玉柱[3] 叶菁 谭国林[5] 刘剑锋[6] 王艳杰 程冯丽 安云芳[1] Zhao Changqing;Sun Xicai;Wan Yuzhu;Ye Jing;Tan Guolin;Liu Jianfeng;Wang Yanjie;Cheng Fengli;An Yunfang(Department of Otorhinolaryngology Head and Neck Surgery,the Second Hospital,Shanxi Medical University,Taiyuan 030000,China;Department of Otorhinolaryngology,Eye,Ear,Nose and Throat Hospital,Fudan University,Shanghai 200031,China;Department of Otorhinolaryngology Head and Neck Surgery,Shandong Provincial ENT Hospital,Shandong University,Jinan 250022,China;Department of Otorhinolaryngology Head and Neck Surgery,the First Affiliated Hospital of Nanchang University,Nanchang 330006,China;Department of Otorhinolaryngology Head and Neck Surgery,Third Xiangya Hospital,Central South University,Changsha 410013,China;Department of Otorhinolaryngology,China-Japan Friendship Hospital,Beijing 100029,China)

机构地区：[1]山西医科大学第二医院耳鼻咽喉头颈外科,太原030000 [2]复旦大学附属眼耳鼻喉科医院耳鼻咽喉科,上海200031 [3]山东大学附属山东省耳鼻喉医院耳鼻咽喉头颈外科,济南250022 [4]南昌大学附属第一医院耳鼻咽喉头颈外科,南昌330006 [5]中南大学湘雅三医院耳鼻咽喉头颈外科,长沙410013 [6]中日友好医院耳鼻咽喉科,北京100029

出　　处：《中华耳鼻咽喉头颈外科杂志》2024年第1期51-56,共6页Chinese Journal of Otorhinolaryngology Head and Neck Surgery

基　　金：国家自然科学基金面上项目(81670914、81870707、82171119、82171120、82201263)。

摘　　要：借助传统的神经环路可以实现神经-免疫的双向调控,这一发现为重新认识翼管神经切断术(vidian neurectomy,VN)提供了理论依据。本文就VN的发展历史、神经-免疫相互作用的原理、VN的应用解剖以及内镜术式进行重点介绍,旨在为临床展现一幅较为全面的从理论到实践的VN画图。The latest research findings on bidirectional regulation of neuro-immunity through traditional neural circuits shed new light on the theoretical basis of the role of vidian neurectomy(VN).This article aims to provide a comprehensive understanding of VN,including the history of VN,the principle of neuroimmuno-interaction,the applied anatomy of VN as well as the methods of transnasal endoscopic surgery.Additionally,we introduce the concept of the nose-brain axis,which was proposed based on the advancement in the area of neuro-immune interactions.

关 键 词：变应性鼻炎 神经免疫 翼管神经切断术 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]