山东大学耳鼻喉眼学报 ›› 2018, Vol. 32 ›› Issue (6): 60-63.doi: 10.6040/j.issn.1673-3770.0.2018.313

• 论著 • 上一篇    下一篇

主观视觉垂直线和水平线检查软件的研发与应用

张玉忠1,魏馨雨1,李英奇2,陈耔辰1, 徐勇1,3,成颖1, 高滢1, 陈飞云1,胡娟1,许珉1,张青1   

  1. 1.西安交通大学第二附属医院耳鼻咽喉头颈外科, 陕西 西安710004;
    2.西安交通大学第二临床医学院, 陕西 西安 710004;
    3.西安市一四一医院耳鼻喉科, 陕西 西安 710089
  • 发布日期:2018-11-29
  • 通讯作者: 张青. E-mail:zhqent@163.com
  • 作者简介:张玉忠. E-mail: 18298343905@163.com
  • 基金资助:
    国家自然基金资助项目(81670945);陕西省国际科技合作重点项目(2017KW-048);西安交通大学医学院第二附属医院人才培养专项基金［RC(GG)201407］;西安交通大学第二附属医院新技术新疗法重点项目(2016YL-018)

Invention and application of subjective visual vertical and horizontal examination software

ZHANG Yuzhong1, WEI Xinyu1, LI Yingqi2, CHEN Zichen1, XU Yong1,3, CHENG Ying1, GAO Ying1, CHEN Feiyun1, HU Juan1, XU Min1, ZHANG Qing1   

  1. The Second Clinical Medical College of Xian Jiaotong University, Xian 710004, Shaanxi, China;
    3. Department of Otolaryngology, Xian 141 Hospital, Xian 710089, Shaanxi, China
  • Published:2018-11-29

HTML

PDF (PC)

461

摘要： 目的 自主研发主观视觉垂直线(SVV)、主观视觉水平线(SVH)检查软件。主要用于判断双侧耳石器功能的对称性和优势偏向侧,评估耳石器功能的静态代偿状态,指导前庭康复。 方法 研发SVV/SVH检查软件,结合消除视觉参考的桶状设备及暗环境检查室,收集80例健康志愿者检查数据,确定正常参考值范围。研究方法为横断面研究。 结果 80例健康志愿者,SVV检查平均值偏离度范围为:-3.00°~3.00°,其平均值的均值(±标准差)为:-0.29(±1.42)°;SVH检查平均值偏离度范围为:-4.00°~3.50°,其平均值的均值(±标准差)为:-0.38(±1.84)°。 结论 自主研发的SVV/SVH软件95%正常值参考范围分别为:-3.13°~2.55°,-4.06°~3.30°;此检查软件和设备可以用于前庭耳石器机能状态的评估,与其他前庭检查设备如前庭诱发肌源性检查、双温试验、甩头试验等相结合,全面评估患者的前庭功能和前庭代偿状态,指导前庭康复。

关键词: 主观视觉垂直线, 主观视觉水平线, 前庭耳石器, 软件设计与应用

Abstract: Objective To develop software to examine the subjective visual vertical(SVV)and subjective visual horizontal(SVH). These parameters are mainly used to determine the symmetry and dominant side of bilateral otolith function, evaluate the static compensation state of otolith function, and guide vestibular rehabilitation. Methods The SVV/SVH software was developed and combined with a visual reference barrel device, and used in a dark examination room to collect data from 80 healthy volunteers to determine the normal reference range. This study was a cross-sectional study. Results In the 80 healthy volunteers, the average deviation of the SVV examination ranged from -3.00° to 3.00°. The mean(± standard deviation)was -0.29(±1.42)°. The mean deviation of SVH ranged from -4.00° to 3.50°. The mean value(± standard deviation)was -0.38(±1.84)°. Conclusion The 95% normal reference ranges of the SVV and SVH measured using the software were -3.13 to 2.55° and -4.06 to 3.30°, respectively. The software and equipment can be used to evaluate the functional status of the otolith. Combined with other vestibular examinations, such as vestibular-evoked myogenic potentials, caloric test, and video head impulse test, the software can be used to comprehensively evaluate the patients vestibular function and vestibular compensation status and guide vestibular rehabilitation.

Key words: Subjective visual vertical, Subjective visual horizon, Vestibular otolith, Software design and application

中图分类号: 

  • R764
[1] 赵媛, 陈太生, 王巍, 等. 主观视觉重力线在前庭代偿评定中的应用初探[J]. 中华耳鼻咽喉头颈外科杂志, 2016, 51(5):355-360. ZHAO Yuan, CHEN Taisheng, WANG Wei, et al. The application of subjective visual gravity in assessment of vestibular compensation: a pilot study[J]. Chin J Otorhinolaryngol Head Neck Surg, 2016, 51(5): 355-360.
[2] 贾宏博, 王锦玲. 主观视觉垂直线知觉与前庭器耳石功能评定[J].中华耳科学杂志, 2005,3(1):70-73. JIA Hongbo, WANG Jinling. Subjective visual vertical perception and vestibular otolith function assessment[J]. Chin J Otol, 2005, 3(1):70-73.
[3] Halmagyi GM, Curthoys IS. Clinical testing of otolith function[J]. Ann N Y Acad Sci, 1999, 871(1):195-204.
[4] Pavan TZ, Funabashi M, Carneiro JA, et al. Software for subjective visual vertical assessment: an observational cross-sectional study[J].Braz J Otorhinolaryngol, 2012, 78(5):51-58.
[5] Sun DQ, Zuniga MG, Davalos-Bichara M, et al. Evaluation of a bedside test of utricular function—the bucket test—in older individuals[J]. Acta Otolaryngol, 2014, 134(4):382-389.
[6] Tesio L, Longo S, Rota V. The subjective visual vertical: validation of a simple test[J]. Int J Rehabil Res, 2011, 34(4):307-315.
[7] Friedmann G. The judgement of the visual vertical and horizontal with peripheral and central vestibular lesions[J]. Brain, 1970, 93(2):313-328.
[8] Uloziene I, Totiliene M, Paulauskas A, et al. Subjective visual vertical assessment with mobile virtual reality system[J]. Medicina(Kaunas), 2017, 53(6):394-402.
[9] Tamura A, Wada Y, Kurita A, et al. Visual effects on the subjective visual vertical and subjective postural head vertical during static roll-tilt[J]. Laryngoscope Invest Otolaryngol, 2017, 2(3):125-130.
[10] Ferreira MM, Cunha F, Ganança CF, et al. Subjective visual vertical with the bucket method in Brazilian healthy individuals[J]. Braz J Otorhinolaryngol, 2016, 82(4):442-446.
[11] Venhovens J, Meulstee J, Verhagen WI. Static subjective visual vertical in healthy volunteers: the effects of different preset angle deviations and test-retest variability[J]. Neuroophthalmol, 2016, 40(3):113-119.
[12] Bohmer A, Rickenmann J. The subjective visual vertical as a clinical parameter of vestibular function in peripheral vestibular disease[J]. J Vestib Res, 1995, 5(1):35-45.
[13] Min KK, Ha JS, Kim MJ. et al. Clinical use of subjective visual horizontal and vertical in patients of unilateral vestibular neuritis[J]. Otol Neurotol, 2007, 28(4):520-525.
[14] Kumagami H, Sainoo Y, Fujiyama D, et al. Subjective visual vertical in acute attacks of Menieres disease[J]. Otol Neurotol, 2009, 30(2):206-209.
[15] Bronstein AM, Agarwal K. Subjective visual vertical in acute attacks of Menieres disease[J]. Otol Neurotol, 2010, 31(2):366.
[16] Ferreira MM, Ganança MM, Caovilla HH. Subjective visual vertical after treatment of benign paroxysmal positional vertigo[J]. Braz J Otorhinolaryngol, 2017, 83(6):659-664.
[17] Ashish G, Augustine AM, Tyagi AK, et al. Subjective visual vertical and horizontal in vestibular migraine[J]. J Int Adv Otol, 2017, 13(2):254-258.
[1] 丁剑,刘艺鸣. 前庭康复对老年良性阵发性位置性眩晕患者后遗头晕的疗效[J]. 山东大学耳鼻喉眼学报, 2018, 32(6): 64-68.
[2] 周庆,刘雄光,吴昌林,叶小武. 耳内镜下耳屏软骨环-软骨膜修补术治疗鼓膜穿孔40例[J]. 山东大学耳鼻喉眼学报, 2018, 32(6): 69-72.
[3] 孟玮,于振坤,郑雅丽,李光飞,梁龙君,王小敏. 术前模拟力学研究在拟植入耳赝附体先天性外中耳畸形患者中的应用价值[J]. 山东大学耳鼻喉眼学报, 2018, 32(5): 27-30.
[4] 廖礼兵,刘绮明,宗凌,翟锦明,张建国. 42例耳鸣伴听觉过敏患者特征分析[J]. 山东大学耳鼻喉眼学报, 2018, 32(5): 31-36.
[5] 侯小兵,任同力,张毅博. 69例梅尼埃病伴耳鸣的发病特点及影响因素[J]. 山东大学耳鼻喉眼学报, 2018, 32(5): 37-40.
[6] 许明,罗兴谷,唐洪波,江青山. 儿童突发性聋的临床特征及预后相关因素分析[J]. 山东大学耳鼻喉眼学报, 2018, 32(5): 41-44.
[7] 陈伟,胡中南,童钊君,李湘宇,刘文君. 青中年无眩晕、心脑血管疾病病史的突发性聋患者高刺激率听性脑干反应特征分析[J]. 山东大学耳鼻喉眼学报, 2018, 32(5): 45-49.
[8] 朱文燕,金新,佘万东,马永驰. 突发性聋30例精神心理状况分析[J]. 山东大学耳鼻喉眼学报, 2018, 32(5): 50-52.
[9] 孟立新,李健,韦善文. 鼓膜微管置入术治疗中耳不张76例临床分析[J]. 山东大学耳鼻喉眼学报, 2018, 32(5): 61-65.
[10] 王春雨,张芬,王贝贝,李宇玥,王小雨,李志云,张庆泉. 喉白斑32例临床诊治分析及再认识[J]. 山东大学耳鼻喉眼学报, 2018, 32(5): 114-116.
[11] 黄芳,郑智娟,谢磊. 突发性聋患者焦虑、抑郁与病情阶段的关系及影响因素分析[J]. 山东大学耳鼻喉眼学报, 2018, 32(4): 1-6.
[12] 黄娟,庞宇峰,龚静蓉,董玥辉. 耳鸣声学特征与扩展高频听阈的关系[J]. 山东大学耳鼻喉眼学报, 2018, 32(4): 7-10.
[13] 黄颖铭,万保罗,靳钰炜. 复方倍他米松联合盐酸利多卡因辅助治疗突发性聋的疗效观察[J]. 山东大学耳鼻喉眼学报, 2018, 32(4): 11-13.
[14] 陈涛,刘善平,卢永田. 中耳炎鼓室窦CT分型与手术方式初探[J]. 山东大学耳鼻喉眼学报, 2018, 32(4): 14-16.
[15] 周佳蕾,孙世冰,李晓艳. 婴幼儿宽频声导抗测试[J]. 山东大学耳鼻喉眼学报, 2018, 32(4): 91-94.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
网站版权所有 © 2018 《山东大学耳鼻喉眼学报》编辑部　
地址：山东省济南市山大南路27号（250100）电话：+86-0531-88366912 E-mail: ebhxb@sdu.edu.cn
本系统由北京玛格泰克科技发展有限公司设计开发