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面神经修复术包括直接吻合术和神经移植术两种。虽然神经移植术已在临床上应用多年,但仍有许多问题尚待解决。本文参考新近文献,对面神经修复的时间、技术、组织粘接剂的应用,激光吻合神经,神经套管术的有关问题进行了概述。认为神经完整性恢复得越早。远期功能效果越好,神经外膜缝合是目前最常用的方法,纤维蛋白粘合剂可作为外膜缝合的辅助方法,激光吻合神经能造成神经热损伤,在临床应用前尚需进行大量的动物试验。就目前的资料而言,神经外膜缝合法与神经套管法的效果相似,需要进一步研究。
Facial nerve repair includes direct anastomosis and nerve grafting. Although nerve grafting has been used clinically for many years, many problems remain to be solved. In this paper, the recent literature, the time of facial nerve repair, technology, the application of tissue adhesives, laser anastomosis, neurosurgical issues are summarized. The sooner neural integrity is recovered. The better the long-term functional effect, the epicardial suture is the most commonly used method, fibrin adhesive can be used as an adjunct to the outer membrane suture, laser nerve anastomosis can cause thermal injury, before the clinical application still need a lot of Animal test. For the current information, the effect of neurosurgical suture and nerve cannulation is similar and needs further study.