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目的:观察贝尔麻痹面神经损伤平面和面神经功能状态对临床疗效的影响。方法:根据面神经损伤的不同平面将131例贝尔麻痹患者分为3组:A组(膝状神经节及以上段)30例,B组(膝状神经节与镫骨肌神经之间段)69例,C组(镫骨肌神经以下段)32例;用H—B面神经功能评价分级系统对131例患者进行分级,并分为3组:Ⅲ级16例,Ⅳ-Ⅴ级77例,Ⅵ级38例。结果:C组和面神经功能为Ⅲ级的患者疗效最好,B组和Ⅳ～Ⅴ级次之,A组和Ⅳ级最差(P<0.01)。结论:面神经损伤平面越高,则损伤程度越重,疗效越差,否则反之。面神经功能越好,疗效越好,否则反之。
Objective: To observe the effects of facial paralysis facial nerve and facial nerve function status on clinical curative effect. Methods: According to different planes of facial nerve injury, 131 cases of Bell’s palsy were divided into three groups: 30 cases in group A (geniculate ganglion and above), and 30 cases in group B (the section between geniculate nerve and stapes muscle) Thirty-two patients were divided into three groups: 16 cases in grade Ⅲ, 77 cases in grade Ⅳ-Ⅴ, Ⅵ Grade 38 cases. Results: Patients in group C and those with facial nerve function Ⅲ had the best curative effect. Patients in group B and IV to V were the worst, and those in group A and IV were the worst (P <0.01). Conclusion: The higher the level of facial nerve injury, the more severe the injury, the worse the efficacy, otherwise the contrary. Facial nerve function better, the better the effect, otherwise the other hand.