创伤后良性阵发性位置性眩晕的临床特点及近期疗效研究

doi:10.6040/j.issn.1673-3770.0.2017.066

摘要/Abstract

摘要： 目的探究原发性(i-BPPV)与创伤性(t-BPPV)良性阵发性位置性眩晕的临床特点及近期疗效是否存在显著性差异。方法回顾性分析2014年7月至2016年9月在海军总医院全军耳鼻咽喉头颈外科中心确诊的307例i-BPPV及25例t-BPPV患者的临床资料,分析两组病例在性别、年龄、并发症(恶心、呕吐、耳鸣、听力减退)、患侧、受累半规管及近期疗效(3 d及1周)等方面是否存在显著性差异。结果 i-BPPV组与t-BPPV组患者在性别、年龄、并发症、患侧等方面不存在显著差异(P>0.05);t-BPPV具有相对较差的短期疗效(P<0.001);t-BPPV患者更易出现前半规管受累(P=0.024)。结论相比i-BPPV,t-BPPV的预后较差,前半规管BPPV的正确治疗对t-BPPV预后更重要。

关键词: 近期疗效, 良性阵发性位置性眩晕, 创伤

Abstract: Objective To determine whether there is a statistically significant difference in clinical characteristics and outcomes between idiopathic and traumatic benign paroxysmal positional vertigo(i-BPPV and t-BPPV, respectively). Methods A retrospective study including 307 i-BPPV and 25 t-BPPV patients between July 2014 and September 2016 was conducted. Data regarding sex, age, and clinical symptoms including, nausea, vomiting, tinnitus, and hearing loss were collected. Laterality of the vertigo, affected part of the semicircular canal, and short-term outcomes were evaluated. Results No statistical difference was found between the two groups in terms of sex, age, complications, and the side involved(P>0.05). Short-term outcomes of t-BPPV were poor(P<0.001). The prevalence of anterior semicircular canal involvement was higher in t-BPPV(P=0.024). Conclusion Short-term outcomes in t-BPPV were significantly worse than those associated with i-BPPV. Appropriate diagnosis and treatment of anterior semicircular canal BPPV is more important in t-BPPV patients.

Key words: Trauma, Short-term outcome, Benign paroxysmal positional vertigo

中图分类号:

R766.9

鞠骏,李进让,邹世桢,贾曼玉. 创伤后良性阵发性位置性眩晕的临床特点及近期疗效研究[J]. 山东大学耳鼻喉眼学报, 2017, 31(5): 57-61.

JU Jun, LI Jinrang, ZOU Shizhen, JIA Manyu. Clinical characteristics and short-term outcomes of traumatic benign paroxysmal positional vertigo.[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(5): 57-61.

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