摘要
【目的】探讨面神经离断修复后神经功能恢复的时间及有关影响因素。【方法】运用显微外科技术对42例急性面神经损伤、腮腺损伤及陈旧面神经损伤进行面神经端端神经外膜吻合,观察其临床恢复时间及相关影响因素。【结果】急性损伤36例中,28例切割伤术后6个月至1年完全恢复;8例急性撕脱伤术后1年有5例恢复,3例无效;6例陈旧性损伤术后1年有3例完全恢复,3例无效。【结论】急性损伤中切割伤术后1年大部分可以恢复,而撕脱伤、陈旧性损伤恢复者仅占一半。急性损伤面神经修复的效果要明显优于陈旧性损伤,其中以急性切割伤的修复效果最佳。
[Objective]To discuss the clinical time and other correlative affecting factors of muscular functional recovery on repairing ruptured facial nerve. [Methods]Different traumatic types of ruptured facial nerves were anastomosed and covered with autogenous vein cuff to restore facial expression and to compare their clinical effect. [Results] In 36 cases of acute facial nerve injuries, 28 cases of incised injuries fully restored facial muscular function after 6 months to 1 year, and in 8 cases of lacerated injuries 5 restored after 1 year 3 did not recover. In 6 cases of old injuries, the full functional recovery was achieved in 3 cases after 1 year. [Conclusion]Most of the acute facial nerve injuries fully restore muscular function in 1 year, but only half of lacerated and old injuries does so. The repairing effect of acute incised facial nerve injuries is far superior to other injuries.
出处
《医学临床研究》
CAS
2006年第4期504-505,共2页
Journal of Clinical Research
