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目的:探讨高分辨CT扫描在颞骨骨折致面神经损伤中的应用价值。方法:对28例有面神经损伤的颅脑外伤患者行颞骨薄层CT扫描,根据颞骨CT扫描及临床征象施行手术。结果:基本恢复6例,部分恢复18例,无变化4例。结论:高分辨率CT可明确显示颞骨骨折的位置及走行,有助于手术前判断面神经损伤的部位及相关损伤,以选择适当的手术径路。
Objective: To investigate the value of high-resolution CT scan in facial nerve injury caused by temporal bone fracture. Methods: Twenty - eight patients with traumatic brain injury with facial nerve injury underwent thin layer CT scan of the temporal bone. The operation was performed according to temporal CT scan and clinical signs. Results: The basic recovery in 6 cases, partial recovery in 18 cases, no change in 4 cases. Conclusions: High-resolution CT can clearly show the location and movement of the temporal bone fracture, which helps to determine the site of facial nerve injury and related injuries before surgery to select the appropriate surgical approach.