摘要
目的探讨7例复发性周围性面神经麻痹患者的临床特征,探讨最佳治疗方法。方法回顾性分析7例复发性周围性面神经麻痹患者的一般资料、临床表现、实验室检查和治疗及预后,分析复发原因和治疗方案及预后。结果7例患者中男性5例,女性2例,中位年龄35岁,5例特发性面瘫(贝尔麻痹),1例梅罗综合征,1例疱疹病毒感染患者。首次发病恢复时间为1.5月~5月;2次发病恢复时间为3月~6月,2例患者未完全恢复,复发时间间隔为4月~33月。6例患者为同侧复发,1例患者为对侧复发。结论周围性面神经麻痹复发较为少见,对复发者应注意寻找病因,进行针对性治疗。
Objective To investigate the clinical characteristics of 7 patients with recurrent peripheral facial paralysis,to explore the best treatment.Methods The general information,clinical manifestations,laboratory examination,treatment and prognosis of 7 patients with recurrent peripheral facial paralysis were retrospectively analyzed.Results Among the 7 patients,5 were male and 2 were female,with a median age of 35 years.Five were idiopathic facial paralysis(Bell’s palsy),1 was Melkersson-Rosenthal syndrome,and 1 was herpes virus infection.The recovery time of the first attack was 1.5 months to 5 months.The recovery time of the second attack was 3~6 months,the 2 patients among the 7 patients did not fully recover,and the recurrence time interval was from 4 to 33 months.6 patients relapsed in ipsilateral and 1 patient relapsed in contralateral.Conclusion The recurrence of peripheral facial paralysis is relatively rare,the recurrence of the attention to find the cause,to prevent recurrence,comprehensive evaluation of the clinical manifestations of the patients,laboratory test results,targeted treatment.
作者
高丽梅
侯光敏
梁亚平
GAO Limei;HOU Guangmin;LIANG Yaping(Department of Stomatology,Daxing District People’s Hospital,Beijing 102600)
出处
《现代口腔医学杂志》
CAS
2021年第2期117-119,共3页
Journal of Modern Stomatology
