并发梅尼埃病的管结石症良性阵发性位置性眩晕临床特点分析

发布时间：2019-01-17 07:31

【摘要】：目的:探讨多管及单管良性阵发性位置性眩晕(BPPV)伴梅尼埃病患者的治疗和预后。方法:梅尼埃病并发多管BPPV(试验组A)6例,梅尼埃病并发单管BPPV(试验组B)11例,不伴梅尼埃病的特发性BPPV(对照组)43例,均经变位试验诊断,并采用管石复位法治疗,比较三组患者的临床特点及转归。结果:试验组(A、B)与对照组比较,以下方面差异有统计学意义(P0.05):1半规管受累单侧比双侧多;2后半规管受累较多;3多管BPPV伴梅尼埃病的患者需多次复位且复发率高。结论:梅尼埃病并发BPPV与特发性BPPV患者的临床特点有显著不同,其1次复位成功率较低且复发率高,多管BPPV伴梅尼埃病的复发率最高。
[Abstract]:Objective: to investigate the treatment and prognosis of multitube and single tube benign paroxysmal positional vertigo (BPPV) with Meniere's disease. Methods: there were 6 cases of Meniere's disease complicated with multiple tube BPPV (test group A), 11 cases of Meniere disease complicated with single tube BPPV (test group B) and 43 cases of idiopathic BPPV (control group) without Meniere's disease. All cases were diagnosed by transposition test. The clinical characteristics and prognosis of the three groups were compared with the reduction of tubules. Results: compared with the control group, there were significant differences in the following aspects: (1) there were more unilateral and posterior semicircular canal involvement in the experimental group than in the control group (P0.05), and the posterior semicircular canal involvement was higher in the experimental group than in the control group (P0.05). 3 patients with multiple BPPV with Meniere's disease need multiple reduction and high recurrence rate. Conclusion: the clinical characteristics of Meniere's disease complicated with BPPV and idiopathic BPPV are significantly different. The success rate of single reduction is low and the recurrence rate is high. The recurrence rate of multiple tube BPPV with Meniere's disease is the highest.
【作者单位】：广州市耳鼻咽喉头颈外科医院(广州市第十二人民医院)广州医科大学耳鼻咽喉头颈外科研究所;
【基金】：广州市科技计划项目(No:2014Y2-00119)
【分类号】：R764.33

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