CAJ | 학술논문

　　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。
　　목적분석아과수치적31례Hunt종합정환자적치료방법，탐토침대Hunt종합정유효적치료방안。방법회고성분석대31례Hunt종합정환자진행항병독、당피질격소급신경영양약등내과보수치료적료효。결과31례환자이포진균치유，면탄（House-brackmann분급Ⅱ급지Ⅳ급）환자30례，출현면탄발생솔위96.8%，치유22례，면탄치유솔（회복지House-brackmann분급Ⅰ급혹Ⅱ급）73.3%，호전6례，호전솔（House-brackmann분급Ⅲ급）20%，2례미견명현변화환자거절행면신경감압술，무효솔6.7%，1례환자치료후1주출현현훈급안진등전정자격증상，경치료1월후회복。무1례유류이신경통。결론Hunt종합정적치료응채취항병독、당피질격소급신경영양약치료등종합치료，경종합치료환자총체예후량호。
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.