CAJ | 학술논문

目的：探讨腮腺及面神经急性损伤的诊断和治疗。方法2012年6月至2013年6月，对21例腮腺及面神经急性损伤患者进行急诊处理。充分术前准备后，针对腮腺、腮腺导管、面神经主干及各分支损伤，采取不同判断方法，即时行破裂修补及吻合术。术后随访并统计疗效。结果93%腮腺破裂及导管断裂的患者完全治愈，7%患者出现腮腺漏，经换药、抑制腺体分泌药物和加压包扎等治疗后康复；66%面神经吻合的患者基本恢复，24%的患者部分恢复，10%的患者未恢复。结论应对腮腺及面神经急性创伤进行严格检查，并对腮腺及面神经急性损伤进行及时诊断和治疗。
목적：탐토시선급면신경급성손상적진단화치료。방법2012년6월지2013년6월，대21례시선급면신경급성손상환자진행급진처리。충분술전준비후，침대시선、시선도관、면신경주간급각분지손상，채취불동판단방법，즉시행파렬수보급문합술。술후수방병통계료효。결과93%시선파렬급도관단렬적환자완전치유，7%환자출현시선루，경환약、억제선체분비약물화가압포찰등치료후강복；66%면신경문합적환자기본회복，24%적환자부분회복，10%적환자미회복。결론응대시선급면신경급성창상진행엄격검사，병대시선급면신경급성손상진행급시진단화치료。
Objective To explore the diagnosis and treatment for acute injuries of parotid and facial nerve. Methods From June 2012 to June 2013, 21 cases with parotid and facial nerve injury were performed actively emergency treatment. After sufficient preoperative preparation, the parotid gland and facial nerves were actively treated. Injury in parotid gland, parotid duct, or facial nerve were differently treated. Parotid gland ruptures were repaired instantly, and the parotid duct and facial nerve were anastomosed instantly. Results 93% of the patients with parotid gland and parotid duct injury were completely healed, while the other 7% cases had parotid gland fistula. All of the 7% patients were cured after giving anticholinergics and pressure dressing. 66% of the patients with facial nerve injury were completely cured, the other 24%cases were partly cured, and remained 10% cases were not cured. Conclusion Strict examination should be given to the patients with acute injuries of parotid gland and facial nerve, then the diagnosis and treatment could be given instantly.