颅底骨折致迟发性面神经麻痹39例分析

Delayed Facial Nerve Palsy Induced by Basilar Fracture

目的讨论颅底骨折引起的迟发性面神经麻痹的病因、诊断、治疗的特点。方法总结1994年1月～1999年12月本科收治的颅底骨折病人伤后三天起出现面神经麻痹的病例39例 ,分析其发病机理、临床特点 ,提出行之有效的诊治措施。结果39例病人经确诊后及时综合治疗 (扩张微循环、抗感染、脱水、理疗等 )面神经功能均明显好转 ,预后良好。结论颅底骨折引起的面神经麻痹多为伤后三天开始出现并进行性加重 ,但如果对颅底骨折的病人有所警惕 ,发病后及时综合治疗 。

Objective To explore the causes ,diagnosis and therapy of the delayed facial nerve palsy which was caused by basilar fracture. Methods 39 cases of facial nerve palsy were collected (from 1994.1 to 1999.12) and analyzed so as to explore its cause, diagnosis, clinical features and therapies. Results all the 39 cases had satisfactory recovery of the facial nerve functions after the comprehensive treatment. Conclusion The facial nerve palsy caused by the basilar fracture would display its clinical symptoms and signs within 3 days and attention should be paid to such patients so as to diagnose and treat the cases as early as possible with better recovery of the facial nerve functions.