中国口腔医学继续教育杂志 ›› 2025, Vol. 28 ›› Issue (6): 438-443.DOI: 10.12337/zgkqjxjyzz.2025.06.009

• 病例报告 • 上一篇    下一篇

三叉神经带状疱疹伴拉姆齐-亨特综合征1例

崔鸢, 刘杨, 宋萌萌, 王新文, 刘青*   

  1. 口颌系统重建与再生全国重点实验室,国家口腔疾病临床医学研究中心,陕西省口腔疾病临床医学研究中心,空军军医大学口腔医院口腔黏膜病科
  • 出版日期:2025-11-30 发布日期:2025-11-30
  • 通讯作者: *刘青,联系方式:029-84772604,电子邮箱:liuqing@fmmu.edu.cn,通讯地址:陕西省西安市新城区长乐西路145号,710032

Trigeminal Herpes Zoster Complicated with Ramsay-Hunt Syndrome: A Case Report

Yuan Cui, Yang Liu, Mengmeng Song, Xinwen Wang, Qing Liu*   

  1. State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shaanxi Clinical Research Center for Oral Diseases, Department of Oral Medicine, School of Stomatology, The Fourth Military Medical University
  • Online:2025-11-30 Published:2025-11-30
  • Contact: Qing Liu. Tel: 029-84772604. Email: liuqing@fmmu.edu.cn. Address: No.145 Changle West Road, Xincheng District, Xi’an 710032, Shaanxi Province, P.R. China.

摘要: 目的:通过报道1例三叉神经带状疱疹伴拉姆齐-亨特综合征(Ramsay-Hunt)患者的诊疗过程,为同类病例的临床诊疗提供参考。诊治经过:患者高龄,就诊时表现口腔黏膜单侧糜烂及水疱,单侧外耳道、耳廓皮肤疱疹;明确诊断为三叉神经带状疱疹合伴Ramsay-Hunt 综合征后收入院治疗,及时开展多学科诊疗,在口腔专科对症处理基础上,联合全身抗病毒治疗、中医针灸治疗面瘫等。结果:患者治疗7天及1月后随访,疗效均良好。结论:对于症状较重且合并全身症状的口腔黏膜疾病,住院治疗便于开展多学科联合诊疗,具有其显著优势。

关键词: 三叉神经带状疱疹, Ramsay-Hunt综合征, 住院治疗, 多学科联合治疗, 中西医结合治疗

Abstract: Objective: This case report described the diagnosis and treatment process of trigeminal herpes zoster complicated with Ramsay-Hunt syndrome. It aimed to provide a reference for the diagnosis and treatment of similar patients. Diagnosis and Treatment: The patient was elderly and presented with left trigeminal herpes zoster combined with Ramsay-Hunt syndrome at the initial visit. After a clear diagnosis, he was advised to be hospitalized. In addition to symptomatic treatment by the stomatology department, traditional Chinese medicine acupuncture was combined to treat facial paralysis, and multidisciplinary diagnosis and treatment were promptly performed. Results: Favorable effects were observed after 7 days treatment and 1-month follow-up. Conclusions: For oral mucosal diseases presenting with severe symptoms and systemic manifestations, hospitalization enables the implementation of multidisciplinary collaborative diagnosis and treatment, which confers notable clinical advantages.

Key words: trigeminal herpes zoster, Ramsay-Hunt syndrome, hospitalization, multidisciplinary team treatment, combined treatment of traditional Chinese medicine and western medicine