摘要
采用组织化学方法(AChE)对鼻粘膜副交感神经的来源及其在鼻粘膜中的分布和效应部位进行观察,得出以下结果和推论:1.筛前神经内含有副交感纤维成分;2.下鼻甲粘膜内存在胆碱能微神经节,其节后纤维形成粘膜下副交感神经丛并分布于血管和腺体周围;3.单独切断筛前神经治疗血管运动性鼻炎可获得较好的近期疗效。因此认为筛前神经和粘膜下胆碱能微神经节在血管运动性鼻炎的发病中起重要作用,也是翼管神经切除术后症状复发的主要原因。由此设计了翼管神经、筛前神经联合切断术加下鼻甲部分切除术的方法治疗顽固不愈的血管运动性鼻炎。但手术方法应作为治疗中的最后手段。
The author found that there were parasympathetic nerve fibres in the anterior ethmoid nerve and eholinergic microganglia in human inferior turbinate by the histochemical method of acetylcholinesteras (ACHE). These finding showed an important fact for the pathogenesis of vasomotor rhinitis and might be used to explain the cause of recurrence in patients who had undergone the Vidian neurectomy. So the author put forivard a suggestion for the teatment of vasomotor rhinitis by a combi nation of Vidian neurectomy, anterior ethmoid neurectomy and inferior turbinectomy. But author considered that the surgical procedure would be the last choice in the treatment of vasomotor rhinitis. At the same time, author performed the operation of anterior ethmoid neurectomy for treating the vasomotor rhinitis in 4 patients and a better result had been got in the nearly stage.
出处
《暨南大学学报（自然科学与医学版）》
CAS
CSCD
1991年第2期83-88,共6页
Journal of Jinan University(Natural Science & Medicine Edition)
基金
暨南大学1989-1990中青年科研基金
关键词
鼻炎
病因学
手术
Vasomotor rhinitis, Acetylcholinterase (AChE), Anterior ethmoid nerve, Cholinergic microganglia
