坐-卧位眼震在良性阵发性位置性眩晕诊断中的意义

发布时间：2018-02-27 01:17

本文关键词： 坐-卧位眼震良性阵发性位置性眩晕诊断　出处：《临床耳鼻咽喉头颈外科杂志》2017年09期 　论文类型：期刊论文

【摘要】：目的:观察及评价坐-卧位眼震(SSPN)在良性阵发性位置性眩晕(BPPV)诊断中的意义。方法:收集200例诊断为BPPV的病例,所有病例先行坐-卧位试验观察SSPN,再行滚转试验及Dix-Hallpike试验。依据滚转试验、Dix-Hallpike试验确定BPPV类型并分组,统计分析不同类型BPPV的SSPN诱发率及特征。结果:200例BPPV患者中116例(58.0%)诱发出SSPN,其中PSC-BPPV组(136例)中72例诱发出SSPN,HSC-BPPV组(60例)中44例诱发出SSPN,ASC-BPPV组(4例)中无SSPN。PSC-BPPV组诱发出的SSPN均表现为以眼球上极为标志的、扭转成分向患侧、垂直成分向额侧的垂直扭转性眼震。管石型HSC-BPPV患者(41例)中28例诱发出SSPN,其中22例诱发出的SSPN指向健侧,6例诱发出的SSPN指向患侧;嵴顶结石型HSC-BPPV患者(19例)中16例诱发出SSPN,诱发出的SSPN均指向患侧。结论:SSPN对不同类型BPPV的诊断意义不同,可结合SSPN对BPPV诊断。
[Abstract]:Objective: to observe and evaluate the significance of SSPN in the diagnosis of benign paroxysmal positional vertigo. Methods: 200 cases of BPPV were collected. SSPNs were observed by sit-lying position test, and then roll test and Dix-Hallpike test were performed. The type of BPPV was determined and grouped according to the rolling test Dix-Hallpike test. Results among 200 cases of BPPV, 116 cases (58.0%) induced SSPNs, of which 72 cases (72 cases of PSC-BPPV group) induced SSPNs HSC-BPPV (60 cases). Of the 44 cases, 44 cases induced SSPNN- ASC-BPPV group (4 cases) there was no SSPN.PSC-BPPV group. SSPN were all marked by the eyeball. Among the 41 patients with tracheolithitic HSC-BPPV, 28 cases were induced SSPNs, of which 22 cases were induced by SSPN pointing to the normal side and 6 cases to the diseased side of the normal side. SSPNs were induced in 16 of 19 patients with crest stone type HSC-BPPV. Conclusion the diagnostic significance of SSPN in different types of BPPV is different, and it can be combined with SSPN in the diagnosis of BPPV.
【作者单位】：安徽医科大学武警总医院临床学院;武警总医院耳鼻咽喉头颈外科武警部队眩晕病研究所;
【分类号】：R764

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