序贯法治疗水平半规管管结石症及壶腹嵴帽结石症

发布时间：2018-07-14 18:33

【摘要】：目的:探讨Barbecue法、Gufoni法联合强迫长时间侧卧位法(FPP)序贯治疗在水平半规管管结石症和壶腹嵴帽结石症中的临床应用价值。方法:分析2010-02-2012-08期间确诊为水平半规管良性阵发性位置性眩晕的42例患者,确诊为管结石症者首先行Barbecue法复位,嵴帽结石症患者则先行Gufoni法转换眼震后行Barbecue法复位。对无效和不能耐受Barbecue复位者联合FPP。结果:42例患者中,首次手法复位成功率为76.2%(32/42)。首次治疗后无效、复发和不能耐受者共16例,经Barbecue复位法和(或)Gufoni法联合FPP序贯治疗后有效率为87.5%(14/16)。结论:Barbecue法、Gufoni法联合FPP序贯法是治疗不能耐受反复Barbecue复位、无效以及复发性水平半规管结石症患者的一种实用、有效的方法。
[Abstract]:Objective: to evaluate the clinical application of Barbecue method and Gufoni method combined with forced long term lateral position (FPP) in the treatment of horizontal semicircular canal calculi and ampullary crest calculi. Methods: 42 cases of horizontal semicircular canal benign paroxysmal positional vertigo diagnosed between 2010-02-2012-08 were analyzed. The patients diagnosed as tubulolithiasis were treated with Barbecue method first, and the patients with crest stone were treated with Barbecue method after the change of eyes by Gufoni method. In combination with FPP in patients with ineffective and intolerable Barbecue reduction. Results the successful rate of first manual reduction was 76.2% (32 / 42). There were 16 cases of failure, recurrence and intolerance after the first treatment. The effective rate was 87.5% (14 / 16) after Barbecue reduction and / or Gufoni combined with FPP. ConclusionGufoni's method combined with FPP is a practical and effective method in the treatment of patients with recurrent Barbecue reduction, ineffectiveness and recurrent horizontal semicircular canal calculi.
【作者单位】：南宁市红十字会医院耳鼻咽喉科;广东省人民医院耳鼻咽喉头颈外科;
【基金】：广西壮族自治区卫生厅科研课题(No:Z2013708)
【分类号】：R764.3

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