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给9例喉一侧麻痹者施行了神经-肌肉蒂瓣的神经重建术。其原理是从自体肩胛舌骨肌上取一块神经-肌肉蒂瓣,锯齿样的植入甲杓肌肉。因为大部份带状肌的运动终板集中在离神经入口处不远的地方,因此大部份的神经纤维被完整保存下来,而避免了神经纤维切除后的萎缩和再生等麻烦问题。大部份患者很快(2～12周内)就能恢复功能。而神经吻合术要9～18个月才能恢复。估计恢复快的原因是只要肌肉蒂瓣在植床内愈合,它就传导来自神经纤维的冲动。因此大部份患者在术后几个月内都能恢复其自然的功能或代偿之。它不需要切断神经或做吻合术,而且可
Nine patients with paralysis of the larynx were subjected to neuromuscular reconstruction. The principle is to take a piece of nerve - muscular pedicle flap from the body of the interal scapholinus muscle, sawtooth-like implantation of nail scoops muscle. Because most of the muscle strips of the motor tend to be located not far from the entrance to the nerve, most of the nerve fibers are preserved intact, avoiding troublesome problems such as atrophy and regeneration after nerve fiber resection. Most patients recover quickly (within 2 to 12 weeks). And nerve anastomosis to 9 to 18 months to recover. The reason for the quick recovery is estimated as long as the musculoskeletal flap heals within the implant bed, it conducts the impulse from the nerve fibers. Therefore, most patients recover their natural function or compensatory function within a few months after surgery. It does not need to cut off nerves or do anastomosis, and can