中国耳鼻咽喉头颈外科2018，Vol.25Issue(2)：75-78,4.DOI:10.16066/j.1672-7002.2018.02.005
多半规管受累的良性阵发性位置性眩晕
Benign paroxysmal positional vertigo with multiple canal involvement
鄢慧琴 1王豪 1吴春花1
作者信息
- 1. 惠州市第三人民医院耳鼻咽喉头颈外科,广东 惠州 516000
- 折叠
摘要
Abstract
OBJECTIVE To describe the type, clinical features and curative effect of benign paroxysmal positional vertigo with multiple canal involvement. METHODS Retrospective analysis was performed on 1502 patients diagnosed with BPPV. Multiple canal BPPV was diagnosed by Dix-Hallpike and roll test, which showed combination of typical nystagmus during the examination, and was treated by means of canalith repositioning manoeuvre. RESULTS Among the 1502 patients, multiple canal BPPV was diagnosed in 162 patients(10.8％), 74 patients(45.7％) had horizontal and posterior canal, 48 patients(29.6％) had bilateral posterior canal, 20 patients (12.3％) had posterior and anterior canal, 10 patients(6.2％) had bilateral horizontal canal, 6 patients(3.7％) had horizontal and anterior canal, 4 patients(2.5％) had bilateral anterior canal. Multiple canal BPPV was more associated with head trauma, a longer duration of treatment and more repositioning times were required in multiple canal BPPV compared with single canal BPPV. CONCLUSION The horizontal and posterior canal was the most common in the multi-canal BPPV, the treatment of multi-canal BPPV can be effective by repositioning maneuver.关键词
半规管/眩晕/临床方案/良性发作性位置性眩晕Key words
Semicircular Canals/Vertigo/Clinical Protocols/benign paroxysmal positional vertigo引用本文复制引用
鄢慧琴,王豪,吴春花..多半规管受累的良性阵发性位置性眩晕[J].中国耳鼻咽喉头颈外科,2018,25(2):75-78,4.
