中华耳科学杂志2017，Vol.15Issue(6)：653-656,4.DOI:10.3969/j.issn.1672-2922.2017.06.009
良性阵发性位置性眩晕诊治分析
Diagnosis and Treatment of Benign Paroxysmal Positional Vertigo:A Case Series Report
杨佩珍 1陈彦林 1马焱燚 1陈志鹏 1王冬青1
作者信息
- 1. 山东省临沂市人民医院耳鼻咽喉科 山东276003
- 折叠
摘要
Abstract
Objective To report results of a retrospective analysis of risk factors and treatment outcomes in a group of patients with BPPV in the hope to improve diagnosis and treatment.Methods A total of 1,200 patients diag-nosed with BPPV between June 2010 and November 2016 were enrolled in the study by vertigo questionnaires.All were treated with either Epley,Barbecue,Semont or Brandt-Daroff maneuvers,supplemented with drug or psychological ther-apies as needed.Results The male to female ratio was 1:2.2,with onset ages ranging from 60 to 70 years.Vertigo symp-toms were associated with postures only,and no underlying diseases or comorbidities were observed.The lesion was lo-cated to the posterior semicircular canal in 1,012 patients (84.33%),to horizontal semicircular canal in 162 patients (13.50%)and to multiple semicircular canals in 26 patients(2.17%).There was no involvement of the anterior semicir-cular canal.The most effective treatment for this roup of patients was otolith repositioning maneuvers with an effective rate of 88%.Conclusion Detailed history and typical clinical characteristics through comprehensive evaluation are the key to correct diagnosis.The key to successful management in BPPV is personalized treatment.关键词
良性阵发性位置性眩晕/后半规管/耳石复位Key words
Benign Paroxysmal Positional Vertigo/Posterior Semicircular Canal/Otolith Reduction分类
医药卫生引用本文复制引用
杨佩珍,陈彦林,马焱燚,陈志鹏,王冬青..良性阵发性位置性眩晕诊治分析[J].中华耳科学杂志,2017,15(6):653-656,4.
