论文部分内容阅读
目的：分析56例外伤性而瘫手术效果。方法：面瘫由于颈骨骨折所致者46例，医源性损伤者7例，中耳外伤者3例。按House提出的评分法对术前、术后的面神经功能进行了评估。12例经颞窗行颅中窝一乳突联合进路，16例（18侧）经耳后切口，乳突一上鼓室进路，28例经耳内切口，乳突切开和上鼓室进路。58侧面瘫中52侧行面神经减压术，4例行面神经端端吻合术，2例行神经移植术。结果：术后面神经功能恢复程度与病程有密切的正相关关系。面神经减压后，71％面神经功能可恢复到正常或基本正常，面神经吻合和移植后面神经功能恢复多不理想。结论：面神经功能恢复与手术进路无明显关系，而与病程和损伤程度有关。
Objective: To analyze 56 cases of traumatic and paralyzed surgery. Methods: Facial paralysis due to fracture of the neck in 46 cases, iatrogenic injury in 7 cases, 3 cases of middle ear trauma. According to the rating method proposed by House, preoperative and postoperative facial nerve function was evaluated. Twelve cases underwent transcranial-midclavicular approach through the temporal window, 16 cases (18 sides) underwent auricular incision, the mastoid was placed on the tympanic cavity, 28 cases underwent an incision of the ear, road. 58 lateral paralysis 52 lateral facial nerve decompression, 4 cases of facial nerve end anastomosis, 2 cases of nerve graft. Results: There was a close positive correlation between the degree of facial nerve function recovery and the course of disease. Facial nerve decompression, 71% facial nerve function can be restored to normal or almost normal, facial nerve anastomosis and facial nerve function recovery after transplantation more than ideal. Conclusion: Facial nerve function recovery has no significant relationship with the surgical approach, but with the degree of disease and the degree of injury.