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时间:2019-03-06
《周围性面瘫41例临床分析》由会员上传分享,免费在线阅读,更多相关内容在教育资源-天天文库。
1、·78·ChineseJournalofOtologyVo1.8.No.1,2Q1o—周围性面瘫41例临床分析柯朝阳龚桃根杨名保暨南大学第二临床学院(深圳市人民医院)耳鼻咽喉科(深圳518020)I摘要】目的总结周围性面瘫的疗效及治疗体会。方法回顾性分析我院2004年7月一2009年1月间41例周围性面瘫患者的临床资料,以House—Brackman(HB)分级法作为疗效评估标准。结果41例患者中Bell面瘫l4例,Hunt综合征l1例,胆脂瘤型中耳炎致面瘫8例,外伤性面瘫4例,颞骨肿瘤致面瘫4例。治疗前面瘫HB分级Ⅱ级2例。Ⅲ级1l例,Ⅳ级13例,V级12例,Ⅵ级3例。22例行
2、单纯药物治疗;19例行手术治疗:其中单纯行面神经减压术6例,病变切除+面神经减压术10例,病变切除+面神经移植术2例,病变切除+面神经垂直段切除术l例。治疗后随访8月~4年半,除2例患者面瘫无明显改善外,其他患者均有不同程度的恢复;6例经药物治疗无效的患者经面神经减压术后1例恢复至I级、3例恢复至Ⅱ级、2例恢复至Ⅲ级。结论周围性面瘫经及时、恰当的药物或手术治疗,大多可获得满意疗效;对于保守治疗无效者,及时果断地行面神经减压术是有效的治疗手段。【关键词】面神经麻痹;治疗结果;面神经减压术;面神经移植术【中图分类号】R764.92,R745.12【文献标识码】A【文章编号】1672—
3、2922(2010)01-078-04Areviewof41casesofperipheralfacialnerveparalysisKEZhao-yang,GongTao-gen,YangMing-baoDepartmentofOtolaryngology,TheSecondClinicalCollegeof,姗University(ShertzhenPeopleHospitd),Shenzhen51802China【Abstract】ObjectiveToreporttreatmentexperiencesandoutcomesinacaseseriesofperiphera
4、lfacialnerveparalysis.MethodsClinicaldataof41casesofperipheralfacialnerveparalysiswereretrospectivelyreviewed.FacialnervefunctionwasevaluatedwithHouse—Brackmann(HB)gradingsystem.ResultsEtiologiesincludedBell’Spalsy(n=14),Huntsyndrome(n=l1),cholesteatoma(n=8),trauma(n=4)andtemporalbonetumor(n=
5、4).OntheHBgradingsystem,2easeswereratedatI,11casesatⅢ,13casesat1V,12casesatVand3casesatVI.Twentytwocaseswereconservativelytreatedand19casesweresurgicallytreated.Ofthe19surgicallytreatedcases,facialnervedecompressionwasperformedin6cases,1esionresectionwithfacialnervedecompressionin10cases,lesi
6、onresectionwithfacialnervegraftingin2casesandmastoidsegmentfacialnerveresectionformiddleearcancerin1case.Duringthe8monthstO54monthsfollowupperiod,partialortotalrecoveryoffacialnervefunctionwasdocumentedin41ofthe43patients./Rescuefacialnervedecompressionfollowingconservativetreatmentwasperform
7、edin6cases,ofwhomproducednoeffect,afterreceived,degreeIpostoperativeHBgradingwasachievedin1case,degreeIIin3casesanddegreeIIIin2cases.ConclusionMostpatientsuferingfromperipheralfacialnerveparalysiscangainsatisfactorytherapeuticoutcomesafterear
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