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面神经麻痹的早期预后判断,不仅是患者所最关心的问题,也是医生在确定治疗方针上所要了解的重要问题。由于阻抗测听技术的发展,镫骨肌反射可以得到定量测定,这对于损伤定位、预后判断都有很大的参考价值。小池氏观察108例麻痹患者,发现镫骨肌反射出现时间与麻痹恢复率有明显相关关系,在3周以内出现镫骨肌反射者,麻痹多能完全治愈。Citron&Adour随访48例,认为3周镫骨肌反射不恢复者,可视为神经变性的有力根据。松居氏观察107例,40日以内出现镫骨肌反射者预后良好,40日以上无反射者预后不良。Exstrand&Glitterstam认为到10天出现反射预后良好,但无反射者也不能说预
The judgment of early prognosis of facial paralysis is not only the most concerned issue for the patients, but also an important issue to be understood by doctors in determining the treatment guidelines. Due to the development of impedance audiometry, the stapedius reflex can be quantitatively determined, which has great reference value for injury localization and prognosis judgment. Koike’s observation of 108 cases of paralysis patients and found that there is a significant correlation between the time of paravertebral muscle reflex and paralysis recovery rate within 3 weeks of the stapedius reflex, paralysis can be completely cured. Citron & Adour follow-up of 48 cases, that 3 weeks not to restore the stapedius reflex, can be considered a strong basis for neurodegeneration. 107 cases of Songju observation, within 40 days appear stapes muscle reflex good prognosis, 40 days without reflex poor prognosis. Exstrand & Glitterstam believes the reflexes are good by 10 days, but reflexes can not say