Epley管石复位法联合Semont管石解脱法治疗后半规管良性阵发性位置性眩晕

发布时间：2018-04-14 13:11

本文选题：眩晕 + 眼震　；参考：《临床耳鼻咽喉头颈外科杂志》2014年19期

【摘要】：目的:探讨采用Epley管石复位法联合Semont管石解脱法治疗后半规管良性阵发性位置性眩晕(BPPV)的疗效。方法:将150例确诊为单侧后半规管BPPV的患者随机分为A、B、C三组,A组(53例)给予Epley管石复位法治疗,B组(44例)给予Semont管石解脱法治疗,C组(53例)给予Epley管石复位法联合Semont管石解脱法治疗,分别记录患者治疗次数,统计治疗后疗效,并随访至治愈后3个月。结果:A组1次治愈38例(72%),2次治愈43例(81%),3次治愈45例(85%);B组分别为30例(68%)、35例(80%)、37例(84%);C组分别为47例(89%)、50例(94%)、52(98%)。C组治愈率明显高于A、B两组(3组1次治愈率相比χ2=6.777,P0.05,3次治愈率相比χ2=6.647,P0.05)。随访至治愈后3个月,A组复发6例,B组复发5例,C组复发1例。结论:Epley管石复位法联合Semont管石解脱法治疗后半规管BPPV,1次治愈率高,患者所需就诊次数减少,治疗后复发率低,适合临床应用。
[Abstract]:Objective: to evaluate the effect of Epley tracheolithiasis reduction combined with Semont decompression in the treatment of posterior semicircular canal benign paroxysmal positional vertigo.Methods: one hundred and fifty patients with unilateral posterior semicircular canal BPPV were randomly divided into three groups: group A (n = 53) treated with Epley tracheolithiasis reduction (n = 44) treated with Semont tracheolithiasis (n = 53) treated with Semont tracheolithiasis (n = 53) treated with Epley tracheolith reduction (n = 53).Combined with Semont's relief therapy,The times of treatment and the curative effect were recorded and followed up to 3 months after cure.All patients were followed up until 3 months after cure. 6 cases recurred in group A, 5 cases in group B and 1 case in group C.Conclusion the reposition of Semont tracheolithiasis combined with the reposition of the ureterolith has a high cure rate once, the number of visits is reduced and the recurrence rate is low, so it is suitable for clinical application.
【作者单位】：山东中医药大学第二临床学院;济南军区总医院耳鼻咽喉头颈外科;
【分类号】：R764.3

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