面肌痉挛不易治疗,药物多无效,常须手术。病因尚无一致认识,或以为脑桥面神经核病变,或认为外周面神经纤维功能障障。作者回顾了各种观点的论据及各类手术的得失。15年来,作者采用经鼓室进路面神经针刺术治疗面机痉挛62例获一定疗效。患者男29例,女33例;左侧30例,右侧32例;发病年龄23～71岁,平均44岁。术前症状持续1～15年,平均5.3 Hemifacial spasm is not easy to treat, drugs and more ineffective, often surgery. There is no consistent understanding of the cause, or thought of pontine nucleus degeneration, or that peripheral nerve fiber dysfunction. The author reviews various arguments and the pros and cons of various types of surgery. In the past 15 years, the authors adopted 62 cases of facial nerve spasm treated by tympanic approach to facial nerve with certain curative effect. There were 29 males and 33 females, with 30 cases on the left and 32 cases on the right. The age of onset was 23-71 years with an average of 44 years. Preoperative symptoms lasted 1 to 15 years, with an average of 5.3