不同病因的周围性面瘫临床特点相关分析

发布时间：2018-05-24 15:05

本文选题：周围性面瘫 + 病因分析　；参考：《福建医科大学》2014年硕士论文

【摘要】：目的：探讨不同病因的周围性面瘫患者相关临床诊疗特点。方法：收集自2008年1月至2013年12月期间福建医科大学附属第一医院耳鼻咽喉科收治住院的资料完整的面神经麻痹患者100例，针对不同病因分别进行保守治疗或手术治疗，对各组面瘫的临床诊疗情况进行分析。结果：周围性面瘫发病各病因所占百分比：中耳炎37％，肿瘤13%，贝尔面瘫12％，Hunt综合症为12%，，外伤性为8%，医源性为6%，先天性为5%，既往面瘫为7%。根据不同病程及不同程度的周围性面瘫将患者进行分析，发现病程越短，面瘫恢复越好；面神经功能分级越低，面瘫恢复越好。结论：周围性面瘫的预后与病程及面瘫程度有关。针对不同病因导致的周围性面瘫，均应进行定性及定位诊断，经过严格的面神经电生理诊断以及影像学检查，确定合适的治疗方案。经保守治疗无效，应尽早选择手术治疗。
[Abstract]:Objective: To investigate the clinical features of peripheral facial palsy with different etiology. Methods: From January 2008 to December 2013, 100 patients with facial nerve paralysis admitted to the Department of Otorhinolaryngology, the first affiliated Hospital of Fujian Medical University were collected. The clinical diagnosis and treatment of facial paralysis in each group were analyzed. Results: The percentage of etiological factors of peripheral facial paralysis was: otitis media 37, tumor 13, Bell's facial palsy 12, traumatic 8, iatrogenic 6, congenital 5 and previous facial paralysis 7. According to the different course of disease and different degrees of peripheral facial paralysis, we found that the shorter the course of disease, the better the recovery of facial paralysis, the lower the grade of facial nerve function, the better the recovery of facial paralysis. Conclusion: The prognosis of peripheral facial paralysis is related to the course of disease and the degree of facial paralysis. For peripheral facial paralysis caused by different etiology, qualitative and localization diagnosis should be carried out. After strict electrophysiological diagnosis of facial nerve and imaging examination, the appropriate treatment plan should be determined. If conservative treatment is ineffective, surgical treatment should be chosen as soon as possible.
【学位授予单位】：福建医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R745.12

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