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目的探讨面神经-舌下神经吻合术治疗周围性面瘫的效果及可行性。方法回顾性分析我科10例周围性面瘫患者的临床和随访资料。结果术前患者H-B分级V级6例,VI级4例,10例患者均为听神经瘤术后面瘫,其中9例均在听神经瘤切除术后3月内行神经吻合治疗,1例术后半年行神经吻合治疗(随访1月后失访),术后评估H-B分级IV级4例,III级4例,II级1例,其中1例患者术后3月仍有舌体麻木不适感,其余舌体不适症状不明显。结论面神经-舌下神经吻合治疗周围性面瘫是一种有效方式。
Objective To investigate the effect and feasibility of facial nerve-hypoglossal nerve anastomosis in the treatment of peripheral facial paralysis. Methods The clinical and follow-up data of 10 patients with peripheral facial paralysis in our department were retrospectively analyzed. Results Preoperative HB grade V grade in 6 cases, grade VI in 4 cases, 10 cases were acoustic neuroma postoperative facial paralysis, including 9 cases of acoustic neuroma resection within 3 months after nerve anastomosis, 1 case of postoperative six months Nerve anastomosis (follow-up one month after the loss of follow-up), postoperative evaluation of HB grade IV grade in 4 cases, grade III in 4 cases, grade II in 1 case, 1 case of postoperative 3 months there is still tongue numbness discomfort, Body discomfort is not obvious. Conclusion Facial nerve - hypoglossal nerve anastomosis is an effective way to treat peripheral facial paralysis.