颅中窝底骨折并发面神经损伤15例分析  

Analysis of middle cranial fossa fracture complicated with facial nerve injury of 15 cases

作　　者：雷鹅跃[1] 周朝辉[1] 白玉兴[1] 

机构地区：[1]河南省鲁山县人民医院神经外科,河南鲁山467300

出　　处：《中国当代医药》2011年第24期26-27,31,共3页China Modern Medicine

摘　　要：目的:分析面神经损伤的临床特点及受伤机制,探讨治疗方法。方法:对2006年1月～2010年1月收治的15例颅中窝底骨折并面神经损伤患者进行回顾性分析。结果:采用非手术综合性治疗,入院3周内完全恢复9例,3周～1个月完全恢复2例,不完全恢复3例,1例转院手术治疗。随访6个月,12例(80.0%)完全恢复,2例(13.3%)部分恢复,1例(6.7%)效果差。结论:在及时处理合并伤的基础上,尽早应用药物减轻局部水肿和创伤反应,改善神经代谢及血管供血,并结合针灸、理疗,是促进神经功能恢复的关键因素。Objective： To analyze the clinical characteristics of facial nerve injury and injury mechanisms of treatment. Methods： Retrospective analyzed was conducted to study the middle cranial fossa fracture complicated with facial nerve injury of 15 cases which were collected from January 2006 to January 2010. Results： Non-operative treatment, hospital 3 weeks completely restored in 9 cases, 3 weeks to a month full recovery in 2 cases, not fully recovered in 3 cases, 1 case of transfers surgery. Followed up for 6 months, 12 patients （80.0%） complete recovery, 2 patients （13.3%） partial recovery, 1 patient （6.7%） poor results. Conclusion： In a timely manner on the basis of associated injuries, early application of drugs to reduce local edema and trauma response, metabolism and blood vessels to improve blood supply to nerves, combined with acupuncture, physical therapy is to promote the recovery of neurological function key.

关 键 词：颅底骨折 面神经损伤 面瘫 综合治疗 

分 类 号：R745.12[医药卫生—神经病学与精神病学]