颅内腓神经移植面神经重建术——附2例报告  

Facial nerve reconstruction with intracranial sural nerve grafting

作　　者：岳树源[1] 朱涛[1] 王敬纯[1] 杨树源[1] 

机构地区：[1]天津医科大学总医院神经外科,300052

出　　处：《现代神经疾病杂志》2002年第4期224-226,共3页

摘　　要：目的 探讨腓神经移植面神经重建的手术方法和临床疗效。方法 根据House-Brackman面瘫分级方法,2例面瘫分级为Ⅳ级的无法保留面神经的听神经瘤患者,先行肿瘤全切除,随后立即行面神经重建术。取腓神经作为神经供体,暴露内听道内面神经残端及颅内最粗的副神经,将腓神经置于面-副神经之间行神经端-端吻合。结果 施行颅内面神经重建的2例患者,手术后面瘫程度改善,预后良好,术后1年随访,面瘫分级分别达到Ⅲ级和Ⅳ级。结论 面神经重建可与听神经瘤切除术同期完成,为恢复面神经运动功能较为有效的手术方法之一。Objective To study the surgical technique of intracranial sural nerve grafting for facial nerve reconstruction and its clinical effect. Methods The House-Brackman facial paralysis grade (in 6 grades) was adopted. Two patients with acoustic neuroma whose facial nerve could not be preserved in neuroma removal were followed by sural nerve grafting immediately. The facial nerve stump in the internal acoustic meatus and intracranial accessory nerve were exposed. Then the sural nerve graft was anastomosed end to end between facial nerve and accessory nerve. Results The facial paralysis was improved after facial nerve reconstruction with good prognosis. The facial paralysis grades in these 2 cases were Ⅲ and Ⅳ respectively in 1 year following up. Conclusion Sural nerve grafting for facial nerve reconstruction and acoustic neuroma removal can be performed at the same time, and it is an effective approach for restoring the motor function of facial nerve.

关 键 词：面神经重建术 面神经麻痹 神经移植 腓神经 术后 

分 类 号：R651.1[医药卫生—外科学]