31例Hunt综合征的治疗体会  

Treatment of Ramsey-Hunt Syndrome: A Series of 31 Cases

作　　者：杨引通[1] 段学军[1] 陈谊辉[1] 刘军[1] 

机构地区：[1]陕西省西安市第四医院耳鼻喉科,西安710004

出　　处：《中华耳科学杂志》2013年第2期276-278,共3页Chinese Journal of Otology

基　　金：陕西省西安市科技计划项目(J2011012)

摘　　要：目的分析我科收治的31例Hunt综合征患者的治疗方法,探讨针对Hunt综合征有效的治疗方案。方法回顾性分析对31例Hunt综合征患者进行抗病毒、糖皮质激素及神经营养药等内科保守治疗的疗效。结果 31例患者耳疱疹均治愈,面瘫(House-brackmann分级Ⅱ级至Ⅳ级)患者30例,出现面瘫发生率为96.8%,治愈22例,面瘫治愈率(恢复至House-brackmann分级Ⅰ级或Ⅱ级)73.3%,好转6例,好转率(House-brackmann分级Ⅲ级)20%,2例未见明显变化患者拒绝行面神经减压术,无效率6.7%,1例患者治疗后1周出现眩晕及眼震等前庭刺激症状,经治疗1月后恢复。无1例遗留耳神经痛。结论 Hunt综合征的治疗应采取抗病毒、糖皮质激素及神经营养药治疗等综合治疗,经综合治疗患者总体预后良好。Objective To report 31 cases of Ramsey-Hunt syndrome treated in our department using a comprehensive therapy approach. Methods Data of 31 cases of Ramsey-Hunt syndrome that were treated with antivirals, glucocorticoids and neurotrophic agents were reviewed, Results Ear herpes were seen and resolved after treatment in all 31 patients. Facial paraly- sis （House-Brackmann grades II to IV） occurred in 30 patients （96.8%）, resolved in 22 cases （73.3%, House-Brackmann grade I or II）, improved in 6 cases （20%, House-Brackmann grade III）, and remained unchanged in 2 patients （6.7%, who also declined facial nerve decompression）. Vertigo and nystagmus appeared in 1 patients after 1 week of treatment, which resolved 1 month later. There was no residual ear neuralgia. Conclusion Treatment of Ramsey-Hunt syndrome should include a comprehen- sive approach with antivirals, glucocorticoids and neurotrophic agents, which appears to provide overall satisfactory prognosis.

关 键 词：疱疹 带状 耳部 阿昔洛韦 地塞米松 

分 类 号：R764.9[医药卫生—耳鼻咽喉科]