改良李氏复位法和Semont法治疗后半规管良性阵发性位置性眩晕疗效对比研究

发布时间：2018-03-22 04:29

本文选题：良性阵发性位置性眩晕　切入点：手法复位　出处：《中华耳科学杂志》2017年03期 　论文类型：期刊论文

【摘要】：目的探讨采用改良李氏复位法和Semont管石解脱法治疗后半规管良性阵发性位置性眩晕的疗效。方法将2015年10月至2016年4月收治的80例确诊为原发性后半规管良性阵发性位置性眩晕的患者随机分为两组,分别采用改良李氏复位法及Semont法进行复位治疗,评定其疗效,随访3个月。结果改良李氏复位法40例,随访1周后总有效率92.5%(37/40),随访3个月后总有效率87.5%(35/40),复发2例(5%);Semont法40例,随访1周后总有效率90%(36/40),随访3个月后总有效率85%(34/40),复发3例(7.5%)两组比较差异无统计学意义(P0.05)。结论改良李氏复位法治疗后半规管良性阵发性位置性眩晕疗效确切,疗效与Semont管石解脱法相近(P0.05),且操作更简洁,过程迅速,可在临床应用。
[Abstract]:Objective to investigate the effect of modified Lee's reduction method and Semont decompression in the treatment of posterior semicircular canal benign paroxysmal positional vertigo. Methods 80 cases of primary posterior semicircular canal benign vertigo were diagnosed as primary posterior semicircular canal benign array from October 2015 to April 2016. Patients with positional vertigo were randomly divided into two groups. The effect was evaluated by modified Lee's reduction method and Semont's method, and followed up for 3 months. Results 40 cases of modified Lee's reduction method were followed up, the total effective rate was 92.5% 37 / 40% after 1 week follow-up, the total effective rate was 87.5% 35 / 40% after 3 months follow-up, and 40 cases were recurrent with Semont method. The total effective rate was 90% 36 / 40% after 1 week follow-up. After 3 months follow-up, the total effective rate was 85%. There was no significant difference between the two groups (P 0.05). Conclusion the modified Lee's reduction method is effective in the treatment of posterior semicircular canal benign paroxysmal positional vertigo, and there is no significant difference between the two groups in the treatment of posterior semicircular canal benign paroxysmal positional vertigo. The curative effect is similar to that of Semont's method, and the procedure is more simple and rapid, so it can be used in clinic.
【作者单位】：河北大学附属医院耳鼻喉科;沧州医学高等专科学校医学技术系;海军总医院全军耳鼻咽喉头颈外科中心;
【基金】：军队后勤科研项目:BWS14J***~~
【分类号】：R764.3

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