论文部分内容阅读
目的对RamsayHunt综合征(HS)临床和治疗进行分析,为了早期诊断和提高疗效。方法84例HS病人平均年龄48.3岁,男女比为2.2∶1,右侧发病多于左人侧(52/32)。先有疱疹的63例,先有面瘫的21例,自觉听力障碍的57例,有眩晕的34例,治疗以保守治疗为主,无效者行面神经减压术。结果半规管功能受损者27例,中度以上听力受损者11例。经过治疗面肌功能完全恢复的达51.19%,总有效率为95.23%。结论对HS要早期诊断,及时治疗,注意鉴别诊断,面瘫保守治疗无效考虑面神经减压术。先出现疱疹的要比先出现面瘫的预后好。
Objective To analyze the clinical and treatment of RamsayHunt syndrome (HS) in order to diagnose and improve the curative effect early. Methods The average age of 84 HS patients was 48.3 years. The ratio of male to female was 2.2:1. The incidence of right side was higher than that of left side (52/32). There are 63 cases of herpes first, 21 cases of facial paralysis, 57 cases of conscious hearing impairment, 34 cases of dizziness, the treatment of conservative treatment, ineffective facial nerve decompression. Results 27 patients with impaired semicircular canal function, 11 moderate or more hearing impaired. After treatment of facial muscle function completely recovered up to 51.19%, the total effective rate was 95.23%. Conclusions For the early diagnosis of HS, timely treatment, pay attention to the differential diagnosis, facial palsy conservative treatment is invalid consider facial nerve decompression. The first appearance of herpes appears to be better than the prognosis of facial paralysis.