双侧声带麻痹神经修复技术的现状及发展  

The current status and development of nerve repair techniques for bilateral vocal cord paralysis

作　　者：魏先飞 李孟 陈世彩 郑宏良 WEI Xianfei;LI Meng;CHEN Shicai;ZHENG Hongliang(Department of Otorhinolaryngology Head and Neck Surgery,the First Affiliated Hospital of Naval Medical University,Shanghai,200433,China)

机构地区：[1]海军军医大学第一附属医院(长海医院)耳鼻咽喉头颈外科,上海200433

出　　处：《临床耳鼻咽喉头颈外科杂志》2024年第10期940-946,共7页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：针对双侧声带麻痹行神经修复术的相关研究可以追溯到一个世纪以前,但由于喉肌支配神经的多变性和复杂性,目前仍然未形成标准化的手术治疗方案和疗效评价标准,耳鼻喉科医生也一直在解除气道梗阻、维持发声功能和减少呛咳等保护喉正常生理功能方面不断权衡和完善手术方案,不同医疗机构在处理方法上仍存在很大的差异。目前,关于双侧声带麻痹治疗的研究及文献较多,但应用神经修复技术对其进行治疗的相关论著仍然较少。本文就双侧声带麻痹神经修复技术当前的现状进行综述,旨在为今后的技术探索与发展奠定基础。The related research of nerve repair for bilateral vocal cord paralysis(BVCP)can be traced back to a century ago.There is still no standardized surgical therapeutic schedule and the evaluation of curative effect,due to the variability and complexity of laryngeal nerve innervation.Otolaryngologists have been constantly weighing and improving the surgical plan in relieving airway obstruction,maintaining vocal function and reducing cough to protect the normal physiological function of the larynx.Different medical institutions have great differences in the treatment methods.Many studies and literatures were published on the treatment of BVCP,yet have few related works on the application of it's nerve repair technology presently.The research progress of nerve repair technology for BVCP were described,along with its developing trend,aiming to lay the foundation for the future technical exploration and development.

关 键 词：双侧声带麻痹 神经修复 喉返神经 再神经支配 膈神经 

分 类 号：R767.4[医药卫生—耳鼻咽喉科]