118例创伤后耳石症临床资料分析

发布时间：2018-03-30 16:43

本文选题：创伤　切入点：良性阵发性位置眩晕　出处：《临床耳鼻咽喉头颈外科杂志》2017年10期

【摘要】：目的:回顾性分析我院收治的118例创伤后耳石症患者的临床特征。方法:对118例创伤后耳石症患者进行临床特征分析,对创伤伤情进行分型、定位,判定受累半规管并实施耳石复位治疗。结果:118例患者伤情分布:颅骨骨折占比最高(29.7%),之后依次为头皮裂伤(23.7%)、复合伤(15.3%)、头皮血肿(14.4%)、轻度脑挫裂伤(11.9%)及脑震荡(2.1%)。受伤部位分布:额颞部外伤占比最高(48.3%),其次为顶部(20.3%)、后枕部(18.6%)及颌面部(12.7%)。创伤后发生BPPV发病率3~7d最高,其后为7~14d、0~3d,14d~1个月发病率最低。118例创伤后BPPV患者中后半规管型占比最高达57.6%,水平半规管型占33.1%,混合性占9.3%。结论:额颞部创伤、颅骨骨折患者易继发BPPV,发病高峰期在创伤后3~14d,创伤后BPPV以后半规管型最常见,水平半规管型次之,少数可表现为混合型。创伤后BPPV经手法复位可获得良好疗效。
[Abstract]:Objective: to retrospectively analyze the clinical features of 118 patients with post-traumatic otolith in our hospital. Results the distribution of injuries in 118 cases was as follows: the highest ratio of skull fracture was 29.710, followed by scalp laceration, compound injury 15.3D, scalp hematoma 14.4G, mild cerebral contusion and laceration 11.9th) and concussion 2.1th. The distribution of position: the ratio of frontotemporal trauma was the highest (48.3%), followed by the top part (20.3) and occipital area (18.6%) and maxillofacial area (12.77.The incidence of BPPV was the highest in 37 days after trauma. The incidence rate of posterior semicircular canal was 57.6, horizontal semicircular canal was 33.1and mixed was 9.30.Conclusion: frontotemporal trauma, the incidence of posterior semicircular canal was the lowest in 7 ~ 14 days and 3 days ~ 1 month. Conclusion: the ratio of posterior semicircular canal type to posterior semicircular canal type is 57.6, horizontal semicircular canal type is 33.1 and mixed is 9.3%. The patients with skull fracture were prone to secondary BPPV.The peak period of onset was 314d after trauma. After BPPV, the most common type was semicircular canal, the second was horizontal semicircular canal, and a few of them were mixed. After trauma, BPPV could be treated by manual reduction.
【作者单位】：解放军第三医院神经内科;
【分类号】：R764

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