面部痉挛的手术疗法

• 作 者: 斋藤春雄·半田让二 尹居忠
• 出 处: 国外医学.耳鼻咽喉科学分册
• 发表日期: 1985年03期
• 关键词: 面部痉挛 面神经疾病 下眼睑 口角 颈阔肌 手术疗法 面部肌肉 肌电图检查 肌群 神经血管减压术

自1978年10月到1983年3月的4年半期间到滋贺医科大学就诊的面神经疾病患者482人,其中以面部肌肉运动亢进为主诉者124人,占26％。Haertel 曾报告在日本人中面部痉挛比较多见。本病女性占绝大多数,常在中年以后发病。一般从下眼睑开始,逐渐发展到口角、颈阔肌和面神经支配的全部肌群,约60％的病人发病两年以内进展到口角。由于本病所造成的精神紧张可使痉挛连续发生。肌电图检查证明,即使在夜间痉挛也不停止。

During the four-and-a-half-year period from October 1978 to March 1983, 482 patients with facial nerve diseases were treated at Shiga Medical University. Among them, 124 were mainly facial muscle hyperactivity sufferers, accounting for 26%. Haertel has reported that facial spasms are more common among Japanese people. Women account for the vast majority of the disease, often after middle age onset. Generally from the lower eyelid, and gradually developed to the mouth, platysma and facial nerve innervation of all muscles, about 60% of patients within two years of onset of disease to the mouth. As the disease caused by mental stress can spasm continuous occurrence. Electromyography proved that even at night spasms did not stop.