頁籤選單縮合
題名 | 耳帶狀疱疹=Herpes Zoster Oticus |
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作者 | 歐俊巖; 趙文元; | 書刊名 | 中華民國耳鼻喉科醫學會雜誌 |
卷期 | 32:5 1997.10[民86.10] |
頁次 | 頁33-39 |
分類號 | 416.82 |
關鍵詞 | 耳帶狀疱疹; 顏面神經麻痺; Herpes zoster oticus; Facial palsy; |
語文 | 中文(Chinese) |
中文摘要 | 自1988年7月至1996年6月,8年間因耳痛、耳部水□或結痂、聽力障礙、耳鳴、 顏面神經麻痺等症狀,至成大醫院耳鼻喉科就醫,經診斷為耳帶狀□疹者,共29人;男性 12名,女性17名。年齡分布為18到81歲,平均年齡為50歲,而50歲以上的患者就有17名。 其中有6名病患因長期罹患其他疾病而身體狀況較差。臨床症狀以耳痛(100%)和耳部水 □(90%)最常見,而以聽力障礙(52%)、耳鳴(41%)、眩暈(38%)來表現也不少。腦 神經的受侵犯以第七對(83%)和第八對(72%)為主,但顏面神經麻痺與水□的發生則沒 有固定的先後順序。所有的病人都接受Acyclovir或加上類固醇治療,並沒有□疹後神經 痛的病例,但僅一半病人顏面神經麻痺的症狀獲得改善。本研究顯示耳帶狀□疹仍以高齡 或免疫力差的人較易罹患,治療上Acyclovir和類固醇為主,對於減輕疼痛和減少後遺症 都不錯的效果,但顏面神經麻痺之復原仍有待突破。 |
英文摘要 | Herpes zoster oticus, caused by Varicella-Zoster virus, is one of the causes of facial palsy. The appearance of a varicelliform rash, facial palsy, and otalgia are paramount in its diagnosis. A retrospective study of 29 patients with herpes zoster oticus that received therapy at our department from July 1988 to June 1996 was carried out. The clinical symptoms, disease course, treatment and prognosis were discussed. The mean age of these patients was 50 years old. Besides, six of these patients were debilitated due to chronic systemic diseases. Otalgia and auricular vesicles were the first and second most commonly reported symptom in these patients. The seventh and eighth pairs of cranial nerve are more apt to be invaded. There was no certain sequence in the onset of vesicles and facial palsy. After the therapy with Acyclovir and steroid, most of the symptoms were ameliorated. No postherpetic neuralgia was noted during follow up. Unsatisfactorily, the recovery rate of facial palsy was only noted in half of cases presented. From this study, a poorer prognosis could be predicted when facial plasy is the first onset symptom and sign. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。