外伤性面神经麻痹手术时机的系统评价

doi:10.6040/j.issn.1673-3770.0.2016.160

山东大学耳鼻喉眼学报 ›› 2016, Vol. 30 ›› Issue (6): 18-21.doi: 10.6040/j.issn.1673-3770.0.2016.160

外伤性面神经麻痹手术时机的系统评价

谢邵兵,张燕妮,徐震航,张建辉,吴学文,孙虹

中南大学湘雅医院耳鼻咽喉头颈外科/耳鼻咽喉科重大疾病研究湖南省重点实验室, 湖南长沙 410008

收稿日期:2016-04-09 出版日期:2016-12-16 发布日期:2016-12-16
通讯作者: 吴学文. E-mail:xwwu840903@hotmail.com E-mail:417424471@qq.co
作者简介:谢邵兵. E-mail:417424471@qq.co
基金资助:
“973”国家重大科学研究计划项目(2014CB943003);国家自然科学青年科学基金项目(81300819);国家自然科学基金面上项目(81170912)

A systematic review of surgical timing of traumatic facial paralysis.

XIE Shaobing, ZHANG Yanni, XU Zhenhang, ZHANG Jianhui, WU Xuewen, SUN Hong

Department of Otolaryngology &Head and Neck Surgery, Xiangya Hospital, Central South University / Hunan Province Key Laboratory of Otolaryngology Critical Diseases, Changsha 410008, Hunan, China

Received:2016-04-09 Online:2016-12-16 Published:2016-12-16

摘要/Abstract

摘要： 目的系统评价外伤性面神经麻痹的手术时机。方法在英文数据库(Pubmed、EMBASE、 Cochrane)和中文数据库(中国期刊全文数据库、维普数据库、万方数据库)中,检索查找有关外伤性面神经麻痹手术时机相关的文献。检索时限为建库~2016年3月,手术时机分为4个组(<2周,2周~1个月,1~2个月,>2个月)。结果最终纳入8篇文献,共145例患者(145侧)。痊愈(House~Brackmanm 分级Ⅰ级)患者56例,占38.6%(56/145)。2周内行手术减压,96.8%(30/31)的患者预后良好(H~B分级Ⅰ和Ⅱ级),相比2周后手术减压,64.9%(74/114)的患者预后良好,两者差异具有统计学意义(P<0.001)。结论外伤性面神经麻痹患者手术减压的最佳时机为伤后2周内,研究同时证明2个月内手术干预预后较好。

关键词: 手术减压, 系统评价, 外伤性面神经麻痹, 手术时机

Abstract: Objective To review the timing of surgical decompression. Methods Databases including Pubmed, EMBASE, Cochrane, CNKI, Wanfang database and Weipu database were searched to collect studies on surgical timing of traumatic facial paralysis which were published from the inception of databases to March 2016. The surgical timings were classified into 4 groups: <2 weeks, 2 weeks~1 month, 1-2 months and >2 months. Results A total of 8 studies involving 145 patients(145 cases)were included. Of all patients, 56(38.6%)achieved complete recovery(House-Brackmanm, H-B Ⅰ). Good results(H-B Ⅰ and Ⅱ)were achieved in 96.8%(30/31)patients who received surgery within 2 weeks versus 64.9%(74/114)patients who received surgery after >2 weeks, showing a statistical difference(P<0.001). Conclusion The ideal timing of surgical decompression for traumatic facial paralysis is within 2 weeks after trauma. Surgical intervention performed within 2 months results in good clinical prognosis.

Key words: Traumatic facial paralysis, Systematic review, Surgical decompression, Surgical timing

中图分类号:

R745.1

谢邵兵,张燕妮,徐震航,张建辉,吴学文,孙虹. 外伤性面神经麻痹手术时机的系统评价[J]. 山东大学耳鼻喉眼学报, 2016, 30(6): 18-21.

XIE Shaobing, ZHANG Yanni, XU Zhenhang, ZHANG Jianhui, WU Xuewen, SUN Hong. A systematic review of surgical timing of traumatic facial paralysis.[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(6): 18-21.

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外伤性面神经麻痹手术时机的系统评价

A systematic review of surgical timing of traumatic facial paralysis.

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