突发性聋伴发良性阵发性位置性眩晕的临床特点及疗效观察

发布时间：2018-08-17 10:28

【摘要】：目的探讨突发性聋伴发良性阵发性位置性眩晕(benign paroxysmal positional vertigo,BPPV)的临床特点,观察其疗效。方法观察2012年10月~2014年6月耳鼻咽喉科收治的36例突发性聋伴发BPPV发病情况,并与同期原发性BPPV患者40例及突发性聋不伴眩晕患者40例进行疗效比较。结果伴发BPPV的36例突发性聋患者,受累半规管均与突发性聋发病侧一致,其中水平半规管BPPV 6例,占16.7%(6/36);后半规管BPPV 27例,占75.0%(27/36);混合管BPPV 3例,占8.3%(3/36)。36例患者出现BPPV的时间均在突发性聋发病后数小时至数天(10天)发生。突发性聋伴发BPPV组1次治愈率明显低于原发性BPPV组,但两种治疗方法的总治愈率均为100%。不伴眩晕突发性聋组的痊愈率、显效率及有效率均高于伴发BPPV组。结论伴发于突发性聋的BPPV以后半规管多见,与原发性BPPV经耳石复位治疗后均可取得较好疗效。而不伴眩晕的突发性聋其疗效优于伴发BPPV的突发性聋。
[Abstract]:Objective to investigate the clinical features of sudden deafness with benign paroxysmal positional vertigo (benign paroxysmal positional) and to observe its curative effect. Methods from October 2012 to June 2014, 36 cases of sudden deafness associated with BPPV were observed and compared with 40 cases of primary BPPV and 40 cases of sudden deafness without vertigo. Results the involved semicircular canal in 36 patients with sudden deafness associated with BPPV was consistent with the onset side of sudden deafness, including 6 cases of horizontal semicircular canal BPPV (16.7%), 27 cases of posterior semicircular canal BPPV (75.0%) and 3 cases of mixed tube BPPV. The occurrence of BPPV occurred in 8. 3% (3 / 36) of patients with sudden deafness from a few hours to a few days (10 days). The cure rate of sudden deafness with BPPV group was significantly lower than that of primary BPPV group, but the total cure rate of both methods was 100. The recovery rate, effective rate and effective rate in the group without vertigo sudden deafness were higher than those in the group with BPPV. Conclusion the semicircular canal after BPPV with sudden deafness is more common than that with primary BPPV after otolith reduction. The curative effect of sudden deafness without vertigo was better than that with BPPV.
【作者单位】：武警后勤学院附属医院耳鼻咽喉科;
【分类号】：R764.437

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