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本文对Bell氏麻痹复发的病因学、发生率和预后进行了观察。本组117例面神经麻痹中,有14例复发(11.9%),其中9例为同侧,5例为对侧。7例为特发性(占全部特发性面神经麻痹中的10.4%),3例为病毒感染所致(占全部病毒性面神经麻痹中的8.8%),一例伴有糖尿病,一例正值妊娠,一例风湿性血清学试验阳性,一例为Melkersson-Rosenthal综合征。复发性面神经麻痹的发生率和病因的不同,提示一个易致病因素和免疫机制。在那些易使其受害的原因中,如有关骨管的狭窄或极微密的神经周围的连结组织,随着各种不利刺激反应而导致面神经麻痹。
The etiology, incidence and prognosis of Bell’s paralysis recurrence were observed in this paper. Of the 117 patients with facial nerve palsy, 14 (11.9%) had recurrence, of which 9 were ipsilateral and 5 were contralateral. 7 were idiopathic (10.4% of all idiopathic facial palsy), 3 were caused by a viral infection (8.8% of all viral facial palsy), one was associated with diabetes, and one was positive for pregnancy, A case of rheumatoid serology test positive, an example of Melkersson-Rosenthal syndrome. The incidence of recurrent facial paralysis and the etiology of the different, suggesting a susceptible factor and immune mechanisms. Among the causes that make it harder to suffer, such as the narrowed or extremely dense connective tissue around the nerves, paralysis of the facial nerve occurs with various adverse stimulus responses.