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102.3 显微血管减压手术後并发颜面神经麻痹之针灸治疗病例报告

显微血管减压手术後并发颜面神经麻痹之针灸治疗病例报告The Treatment of Acupuncture for Facial Nerve Paralysis after Microvascular

Decompression Surgery-A Case Report

刘佳霖1　卓雨青1*

1 台北市立联合医院阳明院区中医科，台北，台湾

【摘要】

66 岁女性患者，因左侧颜面神经痉挛日益严重而进行显微血管减压手术，术後约一周开始突然出现颜面神经麻痹，持续性的左脸颊麻顿无力感，伴随高频耳鸣（左甚）、左耳听力明显下降、左耳道抽痛感及头痛（左甚），经神经科建议针灸治疗。针灸治疗采用平补平泻法，选用循行抵达头面部病位的手足阳明、少阳经，取阳明经穴道颊车、下关，少阳经穴道率谷、听会、瞳子髎、翳风、丝竹空来改善颜面神经麻痹的问题，取百会以调理气机来处理肌表之邪，经外奇穴太阳处理头痛的问题，同时取用头面部的局部穴地仓、颊车、下关、承浆、听会、翳风来做治疗，并於针灸治疗两次後左脸麻顿感和左耳耳鸣的状况逐步减轻，此病例在针灸治疗後帮助患者重获生活品质，可以提供病患在进行显微血管减压手术後出现颜面神经麻痹之治疗选择方式。

【关键词】面肌痉挛、MVD 手术、显微血管减压手术、颜面神经麻痹、迟发性面瘫

Chia-Lin Liu1　Yu-Ching Cho1*

1Taipei City Hospital, Yangming Branch, Taipei, Taiwan

【Summary】

This is a 66-year-old female patient underwent microvascular decompression surgery for facial nerve spasm. Facial nerve paralysis began about a week after the operation, persistent numbness and weakness in the left cheek, accompanied by high-frequency tinnitus (especially left) and significant hearing loss in the left ear. Acupuncture was recommended by the neurology department, we used the acupoints of the meridian of the Yang Ming and Shao Yang. After two acupuncture treatments, the numbness in the left face and the tinnitus in the left ear were gradually relieved. In this case, the acupuncture treatment helped the patient regain the quality of life, and it can provide another option for the patient with facial palsy after microvascular decompression surgery.

【Keywords】

facial palsy, facial paralysis, microvascular decompression, MVD surgery, delayed facial palsy

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