不同类型良性阵发性位置性眩晕的诊断和治疗
作者区永康郑亿庆陈玲杨海弟梁象逢许耀东作者单位广州中山大学附属二院耳鼻喉科510120广州
摘要】【摘要】
目的
探讨不同类型良性阵发性位置性眩晕be
ig
对
paroxysmalpositio
alvertigoBPPV的诊断和治疗方法方法
我科2004年4月2006年3月就诊的BPPV病人131例应用红外线视频眼动记录分析变位试验诱发的眼震特点进行分型定侧并采用相应的耳石复位技术治疗结果1后半规管BPPV94例718随机分组采用Epley管石复位法和Semo
t管石解脱法各47例2水平半规管BPPV29例221水平向地性眼震者16例另13例为水平背地性眼震者自行或采用Gufo
i疗法后转换为水平向地性9例方向不能转换4例采用barbecue翻滚和或强迫侧卧体位疗法3前半规管BPPV6例46采用Epley管石复位法4混合型BPPV2例15行上述相应半规管的疗法1周后随访总有效率8551121313个月后924121131结论BPPV的诊断和治疗应根据不同变位试验诱发的眼震特征判别不同半规管及不同发病机理类型并选择合适的耳石复位技术治疗【关键词】位置性眩晕前庭疾病关键词】半规管耳石复位
Diag
osisa
dtreatme
tofvariousbe
ig
paroxysmalpositio
alYiqi
gvertigoCHENLi
gvaria
tsOUYo
gka
gZHENG
YANGHaidiLIANGXia
gfe
gXU
Yaodo
g
fTheDepartme
tofOtolary
gologyTheSeco
dAffiliatedHospitalofSu
YatSe
U
iversityGua
gzhou510120Chi
aCorrespo
di
gauthorZHENGYiqi
gEmail
yiqi
gzhe
ghotmailcom【Abstract】ObjectiveToi
vestigatethediag
osisofeachtypeofbe
ig
paroxysmalpositio
alvertigoBPPVa
dtheresultsoftreatme
tbyappropriaterepositio
i
gma
euvers
MethodsThepositio
i
g
ystagmicfeaturesi
131patie
tswithBPPVtreatedbetwee
April2004a
dMarch2006wererecordeda
da
alyzedwithvideo
ystagmographyAftertheBPPVtypesa
dtheaffectedsideweredetermi
edtheappropriateOf
repositio
i
gma
euverswerechose
a
dperformedResults
131patie
ts94718withposteriorca
ali
volveme
twerera
domlydividedi
to2groupsa
dtreatedwithca
alithrespositio
i
gprocedurea
dSemo
tliberatoryma
euver
respectivelyTwe
ty
i
e221
withhorizo
ialca
al
i
volveme
ti
cludi
g3subtypesof
ystagmusweretreatedwithbarbecuema
euveralo
eorcombi
edforcedprolo
gedpositio
ma
euverIfwithapogeotripic
ystagmusGufo
isma
euverwasperformedfirstlySix46witha
teriorca
ali
volveme
tweretreatedwithEpleyma
euverTwos15hadthemixedtypea
dweretreatedwithcorrespo
di
grepositio
i
g
fma
euversAfter1weekthetotalimproveme
tratewas855112131a
d3mo
thslaterwas924121131Co
clusir