水平半规管壶腹嵴帽结石症的诊断和治疗

发布时间：2018-04-03 13:10

  本文选题：半规管　切入点：眼震　出处：《临床耳鼻咽喉头颈外科杂志》2015年01期

【摘要】：目的:探讨水平半规管壶腹嵴帽结石症(HSC-Cup)的诊断和治疗。方法:回顾性分析36例HSCCup患者的临床资料,应用视频眼震图仪记录滚转试验诱发的眼震,比较各个试验头位的眼震方向、潜伏期、强度及持续时间,应用SPSS 17.0统计软件进行数据处理。对所有患者采取避免健侧卧位,高枕睡眠,白天避免甩头动作,并口服敏使朗治疗1周后的效果进行评估。结果:所有患者左、右转头均诱发出水平离地性眼震。眼震潜伏期:健侧、患侧分别为(0.93±0.65)s、(1.01±0.78)s,二者差异无统计学意义(P0.05);持续时间:健侧、患侧分别为(100.58±36.56)s、(118.65±43.71)s,持续时间均大于60s,二者差异无统计学意义(P0.05);强度:健侧、患侧分别为(45.58±28.71)°/s、(20.42±16.64)°/s,健侧眼震强度明显大于患侧,差异有统计学意义(P0.05)。其中右侧HSC-Cup患者23例,左侧HSC-Cup患者13例。所有患者采取上述治疗方法1周后复诊,28例(77.77%)痊愈,36例(100.00%)有效。随访期间4例复发。结论:根据眼震方向和持续时间可做出HSC-Cup的诊断,根据眼震强度可判断受累侧别。避免健侧卧位及口服敏使朗对治疗HSC-Cup简单有效。
[Abstract]:Objective: to investigate the diagnosis and treatment of horizontal semicircular canal cristolithiasis (HSC-Cup).Methods: the clinical data of 36 patients with HSCCup were analyzed retrospectively. The nystagmus induced by rolling test was recorded by video nystagmography. The orientation, latency, intensity and duration of nystagmus were compared in each test.SPSS 17.0 statistical software was used to process the data.All patients were evaluated after 1 week of treatment by avoiding contralateral position, sleeping with high pillow and avoiding head flick during the day.Results: all patients with left and right turn of head induced horizontal off-ground nystagmus.鐪奸渿娼滀紡鏈，

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