摘要
目的探讨面肌超声对周围性面瘫患者面肌萎缩的评估效果。方法选取2015年1月至2017年12月在北京电力医院耳鼻喉科就诊的周围性面瘫患者180例为研究对象,采用高频超声检测患者健侧及患侧额肌、降口角肌、降口唇肌厚度。根据年龄、性别、侧别分组,对比不同组别之间健侧面肌厚度;根据不同病史分组,对比健-患侧面肌厚度,观察面肌厚度变化与发病时间二者的相关性。结果健侧面肌厚度在35岁以下组与35岁以上组之间差异无统计学意义,在不同侧别之间差异无统计学意义,男性及女性患者健-患面肌厚度差异均有统计学差异;面肌厚度变化与病史长度具有明显相关性。结论采用面肌超声测量面肌厚度,进而评估面肌萎缩具有可重复性、可量化和简便无创的优点。周围性面瘫患者面肌萎缩程度随病史延长而加重,应该尽早进行临床干预。
Objective To study the role of facial muscle ultrasonography in assessment of facial atrophy in patients with peripheral facial paralysis.Methods High-frequency ultrasound was used to detect the thickness of frontal,depressor anguli oris and labial muscles on both the healthy and diseased sides in 180 patients with peripheral facial palsy admitted to the otolaryngology department of Beijing Electric Power Hospital from January 2015 to December 2017.Facial muscle thickness on the healthy side was compared across different the age,sex and side groups.Facial muscle thickness was compared between healthy and diseased sides in patients with different medical histories for correlation to the time of onset.Results There was no significant difference in facial muscle thickness between patients under 35 years and those over 35 years of age.Statistically significant differences in facial muscle thickness between healthy and diseased sides were observed in both male and female patients.Facial muscle thickness changed with the length of disease duration.Conclusion Ultrasonic measurement of facial muscle thickness for evaluation of facial muscle atrophy has the advantages of being repeatable,quantitative,non-invasive and easy to complete.Facial muscle atrophy in peripheral facial paralysis is aggravated with prolongation of disease duratipn.
作者
于春刚
刘睿宏
李健东
YU Chungang;LIU Ruihong;LI Jiandong(Beijing Electric Power Hospital,Beijing 100073;Beijing Shouda Eye&E.N.T.Hospital,Beijing 100078)
出处
《中华耳科学杂志》
CSCD
北大核心
2020年第4期723-728,共6页
Chinese Journal of Otology
关键词
面神经麻痹
肌萎缩
超声检查
Facial Paralysis
Muscular Atrophy
Ultrasonogram
