多种不同因素对周围性面瘫预后的影响

Prognostic analysis of peripheral facial paralysis caused by tumor and operation

目的:分析不同因素对面瘫预后的影响,为肿瘤及手术损伤所致周围性面瘫的治疗及预后评估提供依据。方法:分别对51例肿瘤及手术所致周围性面瘫的程度、发病年龄、治疗时机、手术方法、术后治疗方法、肿瘤因素等与暂时性周围性面瘫预后的关系进行分析。结果:面瘫程度越重恢复越差,年龄越大恢复越难,术前出现面瘫者手术越早恢复越好,术后出现面瘫者激素及针灸治疗越早恢复越好,采用显微手术者,面瘫的预后好,不同类型的肿瘤所致面瘫恢复程度不同。结论:肿瘤及手术所致暂时性周围性面瘫,应及早采用显微手术,术后及时使用激素及针灸治疗;对于肿瘤所致有化学损伤的周围性面瘫及年长者尤为重要。

AIM:To analyze the effect of different factors on the prognosis of facial paralysis, and provide basis for the treatment and prognostic evaluation of peripheral facial paralysis caused by tumor and operation injury. METHODS:Fifty one patients with peripheral facial paralysis caused by tumor and operation were involved in this study.The relation between correlated factors, such as the degree of facial paralysis, age and occasion of therapy, methods of operation and treatment, tumor, and the prognosis of temporary peripheral facial paralysis was analyzed. RESULTS:The more serious the facial paralysis was and the elder the patients were, the worse the recovery was. The earlier the operation after the appearance of facial paralysis was, the better the recovery was. The earlier the treatments of hormones and acupuncture were given to the patients with the appearance after operation, the better the recovery was.The prognosis was better in those took microsurgery.The patients with facial paralysis caused by different tumor can get different results. CONCLUSION: The temporary peripheral facial paralysis caused by tumor should be treated with microsurgery as early as possible, and timely treatment of hormones and acupuncture after operation, which are more important to those caused by chemical injury of tumor and the elder patients.