急性特发性面瘫MRI表现与预后的相关性分析  

作　　者：钱华[1] 宋雯雯[1] 戴敏慧 许茂盛[1] 杨林[1] 曹志坚[1] 

机构地区：[1]浙江中医药大学附属第一医院,310006

出　　处：《浙江临床医学》2021年第7期979-980,共2页Zhejiang Clinical Medical Journal

基　　金：浙江省中医药重点研究项目(2018ZZ010)。

摘　　要：目的分析急性特发性面瘫患者面神经MRI的相对强化程度与预后的相关性。方法回顾性分析64例急性特发性面瘫患者的面神经增强MRI的图像,根据临床完全恢复时间将患者分为预后较好组和预后较差组,比较两组患者每段面神经的相对强化程度的差弃,结果两组患者面神经迷路段、膝状神经节段相对强化程度百分比差异有统计学意义(P<0.05),面神经内听道段、鼓室段、乳突段的相对强化程度百分比差异无统计学意义(P>0.05)。结论急性特发性面瘫MRI增强表现与预后时间存在一定相关,在面神经迷路段、膝状神经节段预后较好组的强化程度比预后较差组的强化程度低,在评估患者预后中可以提供帮助。Objective To invesrigate the relationship between the relarive enhancement degree of facial nerve and the prognosis of acute idiopathic facial paralysis.Methods The MRI images of 64 patients with acute idiopathic facial paralysis were retrospectively analyzed.The patients were divided into two groups according to the clinical complete recovery time.Independent sample T-test was used to compare the relative enhancement degree of each facial nerve in the two groups.Results There was a significant difference in the percentage of relative enhancement of the labyrinthian and geniculate ganglion segments of the facial nerve between the two groups(P<0.05),and there was no significant difference in the percentage of relative enhancement of the internal auditory canal,tympanum and mastoid segments of the facial nerve(P>0.05).Conclusion There is a certain correlation between the enhanced MRI performance of acute idiopathic facial paralysis and the prognosis rime.The enhancement degree of the two segments of the facial nerve,the vagal segment and the genicular ganglion segment,which has a good prognosis,is lower than that of the group with a bad prognosis.Therefore,some help can be provided in the assessment of the prognosis of patients.

关 键 词：急性特发性面瘫 磁共振成像 面神经 

分 类 号：R73[医药卫生—肿瘤]