本文選題：面神經(jīng)鞘膜瘤 + 面神經(jīng)重建手術(shù)�。� 參考：《聽力學(xué)及言語疾病雜志》2017年04期

【摘要】：目的探討面神經(jīng)鞘膜瘤切除同期面神經(jīng)重建手術(shù)的療效。方法回顧性分析自2004年1月至2015年12月確診并行面神經(jīng)鞘膜瘤切除同期行面神經(jīng)重建術(shù)的42例面神經(jīng)鞘膜瘤患者的臨床資料,按面神經(jīng)重建方法分為端端吻合術(shù)(A組,3例)、面神經(jīng)移植術(shù)(B組,4例)、跨面神經(jīng)移植術(shù)(C組,8例)、面神經(jīng)-舌下/咬肌神經(jīng)吻合術(shù)(D組,27例);分別于術(shù)后1周、3個(gè)月、半年、1年進(jìn)行面神經(jīng)功能H-B分級(jí)評(píng)估及Fisch評(píng)分,分析療效。結(jié)果跨面神經(jīng)移植術(shù)組(C組)患者術(shù)后3個(gè)月的面神經(jīng)功能(Fisch評(píng)分)優(yōu)于術(shù)后1周,術(shù)后6個(gè)月的面神經(jīng)功能優(yōu)于術(shù)后3個(gè)月(均為P0.01),術(shù)后6個(gè)月與術(shù)后1年差異無統(tǒng)計(jì)學(xué)意義(P0.05);神經(jīng)吻合術(shù)組(D組)患者術(shù)后1年的面神經(jīng)功能(Fisch評(píng)分)優(yōu)于術(shù)后6個(gè)月(P0.05);A、B兩組病例偏少,故未對(duì)該二組Fisch評(píng)分進(jìn)行統(tǒng)計(jì)學(xué)比較。結(jié)論本組對(duì)象中多數(shù)面神經(jīng)鞘膜瘤患者腫物切除同期行面神經(jīng)重建后可獲得較好效果,面神經(jīng)功能恢復(fù)至穩(wěn)定狀態(tài)所需時(shí)間較長(zhǎng),部分患者術(shù)后1年面神經(jīng)功能仍在恢復(fù)中。
[Abstract]:Objective to investigate the effect of facial nerve reconstruction after resection of facial nerve sheath tumor. Methods the clinical data of 42 patients with facial nerve sheath tumor diagnosed from January 2004 to December 2015 and underwent facial nerve reconstruction were analyzed retrospectively. According to the method of facial nerve reconstruction, they were divided into group A (n = 3), group B (n = 4), group C (n = 8), group D (n = 27). After half a year and one year, the function of facial nerve was evaluated by H-B grade and Fisch score, and the curative effect was analyzed. Results Fisch score of facial nerve function in group C (3 months after operation) was better than that in group C (1 week after operation). The facial nerve function at 6 months after operation was better than that at 3 months after operation (all P0.01, there was no significant difference between 6 months after operation and 1 year after operation; group D with neuroanastomosis) was superior to that in Fisch score of facial nerve function 1 year after operation. In 6 months, the cases of P0.05 and ANAB were less than those of the other two groups. The Fisch scores of the two groups were not statistically compared. Conclusion in most patients with facial nerve sheath tumor, good results can be obtained after resection and reconstruction of facial nerve. It takes a long time for the facial nerve function to recover to a stable state, and the facial nerve function of some patients is still recovering one year after operation.
【作者單位】： 首都醫(yī)科大學(xué)附屬北京同仁醫(yī)院耳鼻咽喉頭頸外科;兵器工業(yè)北京北方醫(yī)院耳鼻咽喉科;
【分類號(hào)】：R739.4

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