本文選題：中耳膽脂瘤　切入點(diǎn)：面神經(jīng)麻痹　出處：《聽(tīng)力學(xué)及言語(yǔ)疾病雜志》2017年03期 　論文類型：期刊論文

【摘要】：目的探討中耳膽脂瘤并發(fā)面癱患者的病程和程度對(duì)術(shù)后面神經(jīng)功能恢復(fù)的影響。方法回顧性分析30例(30耳)中耳膽脂瘤并發(fā)面癱患者的臨床資料,男17例,女13例,年齡21~77歲,平均54.7±8.9歲;面癱時(shí)間9天~5個(gè)月,其中,術(shù)前面癱≤2個(gè)月14例,2個(gè)月16例;術(shù)前不完全面癱組(III-IV級(jí))14例,完全面癱組(V-VI級(jí))16例;用Fisher確切概率檢驗(yàn)方法分析術(shù)前面癱病程和程度對(duì)術(shù)后面神經(jīng)功能恢復(fù)的影響。結(jié)果30例患者中,3例行開(kāi)放式乳突根治術(shù),術(shù)中探查見(jiàn)面神經(jīng)骨管先天性缺損,無(wú)面神經(jīng)受損,術(shù)后面癱完全恢復(fù);27例面神經(jīng)骨管受損,伴有面神經(jīng)充血、水腫或肉芽形成,其中20例面神經(jīng)受損部位累及鼓室段;行開(kāi)放式乳突根治術(shù)和局部面神經(jīng)減壓術(shù),術(shù)后14例(46.67%,14/30)面癱恢復(fù)良好。面癱病程≤2個(gè)月者面神經(jīng)功能恢復(fù)良好率(78.57%,11/14)高于2個(gè)月者(18.75%,3/16)(P0.05),不完全面癱者面神經(jīng)功能恢復(fù)良好率(71.43%,10/14)高于完全面癱者(25%,4/16)(P0.05)。結(jié)論本組中耳膽脂瘤并發(fā)面癱者面神經(jīng)受損多位于面神經(jīng)鼓室段,開(kāi)放式乳突根治術(shù)和局部面神經(jīng)減壓術(shù)是治療中耳膽脂瘤并發(fā)面癱的有效方法。術(shù)前面癱病程越短、程度越輕,術(shù)后面神經(jīng)功能恢復(fù)越好。
[Abstract]:Objective to investigate the effect of the course and degree of middle ear cholesteatoma complicated with facial paralysis on the recovery of facial nerve function after operation. Methods the clinical data of 30 patients with middle ear cholesteatoma complicated with facial paralysis were retrospectively analyzed. The mean age of facial paralysis was 54.7 鹵8.9 years, the duration of facial paralysis was 9 days to 5 months, including 14 cases of preoperative facial paralysis 鈮，

本文編號(hào)：1610733