171例周围性面瘫的临床分析

发布时间：2018-06-19 08:39

本文选题：周围性面瘫 + 病因　；参考：《重庆医科大学》2016年硕士论文

【摘要】：目的:探讨周围性面瘫的常见病因、治疗方法及疗效。方法:回顾分析2013年1月至2015年9月我院171例周围性面瘫患者的诊疗资料。结果:本组病例中,特发性面瘫82例(47.95%),中耳炎乳突根治术后(10例)、腮腺肿瘤切除术后(24例)、听神经瘤切除术后(2例)面瘫共36例(5.84%,14.04%,1.17%),Hunt综合征23例(13.45%),外伤性面瘫19例(11.11%),肿瘤所致面瘫6例(3.51%),中耳炎(3例)、外耳道炎(1例)、中耳术后感染(1例)所致面瘫共5例(1.75%,0.58%,0.58%)。治疗分为手术组与非手术组。手术组包括外伤性面瘫18例,肿瘤所致面瘫3例,中耳炎所致面瘫2例,根据病情选择不同手术方式治疗,术后面神经功能不同程度恢复。非手术组包括特发性面瘫82例,术后面瘫36例,Hunt综合征23例,肿瘤所致面瘫3例,外伤性面瘫1例,外耳道炎1例,中耳炎1例,中耳术后感染1例,给予抗感染、抗炎、营养神经、改善循环、消肿以及其他辅助治疗,治疗后面神经功能不同程度恢复。病程越短,面瘫程度越轻,治疗效果越好。结论:周围性面瘫病因复杂,以特发性面瘫最多见。治疗周围性面瘫首先要明确病因,根据病因及相关辅助检查制定合理的治疗方案,以提高治愈率,减少后遗症。周围性面瘫的预后可能与病程和面瘫程度有关。
[Abstract]:Objective: to investigate the common etiology, treatment and curative effect of peripheral facial paralysis. Methods: 171 patients with peripheral facial paralysis from January 2013 to September 2015 were retrospectively analyzed. Results: in this group, Eighty-two cases of idiopathic facial palsy, 10 cases of mastoidectomy, 24 cases of parotid neoplasms and 2 cases of acoustic neuroma) facial paralysis, 36 cases of facial palsy, 36 cases of facial paralysis, 23 cases of 13.4545m, 19 cases of traumatic palsy, 19 cases of traumatic facial paralysis, 6 cases of facial paralysis caused by tumor. There were 5 cases of facial paralysis caused by 3 cases of otitis media, 1 case of external auditory canal infection and 1 case of infection after middle ear operation. The treatment was divided into operative group and non-operative group. The operation group included 18 cases of traumatic facial paralysis, 3 cases of facial paralysis caused by tumor and 2 cases of facial paralysis caused by otitis media. The non-operative group included 82 cases of idiopathic facial paralysis, 23 cases of postoperative facial paralysis, 3 cases of facial paralysis caused by tumor, 1 case of traumatic facial paralysis, 1 case of otitis media, 1 case of postoperative infection of middle ear, and 1 case of anti-infection and anti-inflammation. Nourish the nerves, improve circulation, detumescence and other adjuvant treatments, and restore neurological function to varying degrees after treatment. The shorter the course of disease, the lighter the degree of facial paralysis, the better the therapeutic effect. Conclusion: the etiology of peripheral facial paralysis is complex, and idiopathic facial paralysis is the most common. In order to improve the cure rate and reduce sequelae, the etiology of peripheral facial palsy should be determined firstly, and a reasonable treatment plan should be made according to the etiology and related auxiliary examination. The prognosis of peripheral facial paralysis may be related to the course of disease and the degree of facial paralysis.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R745.12

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