面神经鞘膜瘤切除同期面神经重建术后效果分析

发布时间：2018-04-23 04:05

本文选题：面神经鞘膜瘤 + 面神经重建手术　；参考：《听力学及言语疾病杂志》2017年04期

【摘要】：目的探讨面神经鞘膜瘤切除同期面神经重建手术的疗效。方法回顾性分析自2004年1月至2015年12月确诊并行面神经鞘膜瘤切除同期行面神经重建术的42例面神经鞘膜瘤患者的临床资料,按面神经重建方法分为端端吻合术(A组,3例)、面神经移植术(B组,4例)、跨面神经移植术(C组,8例)、面神经-舌下/咬肌神经吻合术(D组,27例);分别于术后1周、3个月、半年、1年进行面神经功能H-B分级评估及Fisch评分,分析疗效。结果跨面神经移植术组(C组)患者术后3个月的面神经功能(Fisch评分)优于术后1周,术后6个月的面神经功能优于术后3个月(均为P0.01),术后6个月与术后1年差异无统计学意义(P0.05);神经吻合术组(D组)患者术后1年的面神经功能(Fisch评分)优于术后6个月(P0.05);A、B两组病例偏少,故未对该二组Fisch评分进行统计学比较。结论本组对象中多数面神经鞘膜瘤患者肿物切除同期行面神经重建后可获得较好效果,面神经功能恢复至稳定状态所需时间较长,部分患者术后1年面神经功能仍在恢复中。
[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.
【作者单位】：首都医科大学附属北京同仁医院耳鼻咽喉头颈外科;兵器工业北京北方医院耳鼻咽喉科;
【分类号】：R739.4

【相似文献】