文章摘要
张建才,翟明锋,饶峰,等.A型肉毒毒素注射治疗面肌痉挛的方法改良[J].安徽医药,2020,24(9):1868-1870.
A型肉毒毒素注射治疗面肌痉挛的方法改良
Improvement of botulinum toxin type A injection in the treatment of hemifacial spasm
  
DOI:10.3969/j.issn.1009-6469.2020.09.044
中文关键词: 面部单侧痉挛  A型肉毒毒素  面部肌肉  注射,肌肉内  口角歪斜
英文关键词: Hemifacial spasm  Botulinum toxin type A  Facial muscles  Injections,intramuscular  Distortion of commissure
基金项目:
作者单位E-mail
张建才 阜阳市人民医院神经内科安徽阜阳 236000  
翟明锋 阜阳市人民医院神经内科安徽阜阳 236000  
饶峰 阜阳市人民医院神经内科安徽阜阳 236000  
秦亚勤 阜阳市人民医院神经内科安徽阜阳 236000  
徐婷婷 阜阳市人民医院神经内科安徽阜阳 236000  
李宗友 阜阳市人民医院神经内科安徽阜阳 236000 13965586687@qq.com 
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中文摘要:
      目的 A型肉毒毒素治疗面肌痉挛的两种不同注射方法所致口角歪斜发生率的差别。方法 2018年 12月至 2019年 8月在阜阳市人民医院就诊的 64例面肌痉挛病人,按随机数字表法分为 A组、 B组, A组 32例采用传统单侧加健侧笑肌注射, B组 32例在 A组注射基础上添加健侧提口角肌群注射,分析 A、B两组治疗后口角歪斜并发症的差异。结果两组总有效率均为 100%,疗效差异无统计学意义( P>0.05)出现口角歪斜的占比分别为: A组 9例( 28.1%)B组 1例( 3.1%)B组明显低于 A组( P<0.05)。结论面肌痉挛病人改良单侧联,合健侧笑肌及提口角肌群注射A型肉毒毒素较,传统单侧加健侧,笑肌注射出现口角歪斜概率降低。
英文摘要:
      Objective To study the differences in the incidence of skewness caused by two different injection methods of botulinumtoxin type A in the treatment of hemifacial spasm.Methods Sixty-four patients wity hemifacial spasm who were treated in Fuyang People’s Hospital were selected from December 2018 to August 2019.According to the random number table method,they were di- vided into the group A and group B.Thirty-two cases in the group A were given the traditional unilateral injection with the contralat- eral risorius injections,and 32 cases in the group B were given the musculus levator anguli orista group on the basis of injection inthe group A.The differences in complication of distortion of commissure after treatment between the group A and B were analyzed.Results The total effective rate of both groups was 100%.The difference in curative effect between the two groups was not statisti-cally significant(P>0.05).The proportions of distortion of commissure of mouth were:9 cases in the group A(28.1%),1 case in the group B(3.1%),and the group B was obviously lower than the group A(P<0.05).Conclusion Compared with the traditional unilateral with contralateral risorius,the probability of distortion of commissure of the modified unilateral with contralateral risoriusand musculus levator anguli orista group injection of botulinum toxin type A is lower for patients with hemifacial spasm.
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