山东大学耳鼻喉眼学报 ›› 2017, Vol. 31 ›› Issue (1): 88-90.doi: 10.6040/j.issn.1673-3770.0.2016.055

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DHM阴性的非典型PSC-BPPV诊断策略探讨

刘学升,李筱瑜,邓玮   

  1. 青岛市市立医院神经内科, 山东 青岛 266011
  • 收稿日期:2016-02-15 出版日期:2017-02-16 发布日期:2017-02-16
  • 通讯作者: 邓玮. E-mail:deng64-wei128@163.com

Exploration of diagnostic strategy for atypical PSC-BPPV with negative DHM.

  1. Department of Neurology, Qingdao Municipal Hospital, Qingdao 266011, Shandong, China
  • Received:2016-02-15 Online:2017-02-16 Published:2017-02-16

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摘要： 目的 探讨Dix-Hallpike诱发试验(DHM)阴性的非典型后半规管良性阵发性位置性眩晕(PSC-BPPV)的诊断策略。 方法 回顾性分析DHM阴性的非典型PSC-BPPV的诊断过程,对55例存在Dix-Hallpike诱发试验阴性的非典型PSC-BPPV患者,进行双侧Epley复位治疗及疗效观察,对比按照阳性DHM诊断和根据Epley复位治疗结合疗效进行诊断间的早期确诊率。 结果 双侧进行DHM和双侧Epley复位治疗法治疗效果的确诊率分别为35.6%、100.0%。 结论 与按照阳性DHM诊断PSC-BPPV对比,Epley复位治疗结合疗效观察能够显著提高PSC-BPPV的早期确诊率,且能避免漏诊双侧PSC-BPPV。

关键词: 良性阵发性位置性眩晕, Dix-Hallpike诱发试验, 确诊率

Abstract: Objective To explore the diagnostic strategy of atypical posterior semicanal benign paroxysmal positional vertigo(PSC-BPPV)with negative Dix-Hallpike maneuver(DHM). Methods The diagnostic course of 55 cases of atypical PSC-BPPV with negative DHM was retrospectively reviewed. Epley maneuver was performed bilaterally and its effectiveness was observed. The early confirmed diagnostic rates according to positive DHM and Epley maneuver were compared. Results The confirmed diagnostic rate according to positive DHM and bilateral Epley maneuver were 35.6% and 100.0%, respectively. Conclusion Compared with positive DHM, bilateral Epley maneuver is more effective in the early diagnosis of PSC-BPPV, which can also avoid missed diagnosis of bilateral PSC-BPPV.

Key words: Confirmed diagnostic rate, Dix-Hallpike maneuver, Benign paroxysmal positional vertigo

中图分类号: 

  • R764.4
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