神经修复在周围性面瘫治疗中的研究进展  

Research progress of nerve repair in the treatment of peripheral facial paralysis

作　　者：许天人(综述) 王喜梅(审校)[1] XU Tianren;WANG Ximei(Medical Cosmetology Center of the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院医学美容中心,郑州450000

出　　处：《中华显微外科杂志》2021年第1期118-120,共3页Chinese Journal of Microsurgery

摘　　要：目前周围性面瘫的手术治疗方法主要有非动力性治疗以及动力性治疗。前者通过各种材料悬吊面部软组织,借此重建面部静态的对称性;后者通过神经修复以及带血管神经肌瓣的移植,恢复患侧部分面神经及表情肌收缩功能,达到理想的动态治疗效果。本文综述相关文献中各种神经修复方法在周围性面瘫中的应用,探讨其适用范围以及优点和缺点,为临床医生在治疗周围性面瘫的手术方法选择上提供参考和帮助。At present,the surgical treatment of peripheral facial paralysis includes non-dynamic and dynamic treatment.The former suspends the facial soft tissue with various materials to reconstruct the static symmetry of the face.The latter,through nerve repair and the transplantation of vascularized neuromuscular flap,restores the facial nerve and expressive muscle contractile function of the affected side,to achieve the ideal therapeutic effect.This article summarises the relevant literatures,reviews the application of various nerve repair methods in peripheral facial paralysis,to discusses the scope of application,advantages and disadvantages,and provides reference and help for clinicians in selection of surgical methods for peripheral facial paralysis.

关 键 词：周围性面瘫 神经修复 神经移植术 

分 类 号：R745.1[医药卫生—神经病学与精神病学]