中华耳科学杂志2026，Vol.24Issue(4)：297-303,7.DOI:10.3969/j.issn.1672-2922.2026.04.002
虚拟现实辅助下的SVV和SVH检测在梅尼埃病和前庭性偏头痛鉴别诊断中的应用
Application of virtual reality assisted subjective visual vertical and horizontal lines detection in differential diagnosis of MD and VM
郑直 1黄仁丽 2李蓓 1杨琪 1李春燕 3吕萍 4潘庆春1
作者信息
- 1. 川北医学院附属医院,南充 637000
- 2. 隆昌市人民医院,隆昌 642150
- 3. 四川省遂宁市中心医院,遂宁 629000
- 4. 川北医学院运动医学与康复学院体育部,南充 637000
- 折叠
摘要
Abstract
Objective To investigate the value of virtual reality-assisted subjective visual vertical(SVV)and visual horizontal(SVH)lines detection in differential diagnosis of Meniere's disease(MD)and vestibular migraine(VM).Methods In this multi-center cross-sectional study,50 patients with unilateral MD,50 patients with vestibular migraine(VM)and 50 matched healthy volunteers from the Affiliated Hospital of North Sichuan Medical College,Suining Central Hospital and Nanbu County People's Hospital were continuously recruited during January 2021 to January 2024.SVV/SVH tests at 0°,30° and 45° were completed,respectively,and the absolute skew angle and rate of anomaly were compared between the MD and VM groups.The absolute SVV/SVH skew angle in the MD and VM groups was analyzed based on receiver operating characteristic curve(ROC)characteristics of the control group to evaluate their value in the differential diagnosis of MD and VM.Results(1)Anomaly rate:The absolute SVV/SVH skew angle and rate of anomaly in the MD and VM groups were greater than those in the control group at all test angles,and greater in the MD group than in the VM group(P<0.05).(2)ROC results:The predictive value of SVV and SVH at 0° was better than at 30° and 45° for MD,with a cut-off point at 2.03° for SVV and 3.21° for SVH,respectively.The same was also true for VM patients with the predictive cut-off point at 1.88° for SVV and 1.61° for SVH.Conclusions SVV/SVH at 0° can be used as a basis for differential diagnosis of MD and VM.The dual threshold system is not only an innovation to the traditional multi-angle detection paradigm,but also promotes a paradigm shift of vestibular disease diagnosis from symptom description to quantitative analysis.These findings provide theoretical basis for clinical diagnosis and treatment,and have important clinical translational value.关键词
梅尼埃病/主观视觉垂直线/前庭性偏头痛/鉴别诊断Key words
Meniere's disease/subjective visual vertical line/vestibular migraine/antidiastole引用本文复制引用
郑直,黄仁丽,李蓓,杨琪,李春燕,吕萍,潘庆春..虚拟现实辅助下的SVV和SVH检测在梅尼埃病和前庭性偏头痛鉴别诊断中的应用[J].中华耳科学杂志,2026,24(4):297-303,7.
