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梅尼埃病患者的经颅多普勒超声检查

Transcranial Doppler sonography in patients with Meniére's disease.

作者信息

Gortan D

机构信息

ENT Department, School of Medicine, University of Zagreb, Croatia.

出版信息

Acta Med Croatica. 2000;54(1):11-4.

Abstract

The aim of the study was to assess the correlation between pathologic vertebrobasilar (VB) findings obtained by the method of transcranial Doppler (TCD) sonography and hearing disorders in Meniere's disease patients. The manifestations of Meniere's disease were analyzed in 65 patients and correlated with transcranial Doppler of vertebrobasilar circulation. Control group consisted of 50 patients with cardiovascular dysfunction who had no hearing loss, tinnitus or vertigo, who were submitted to TCD examination. The control group of patients with cardiovascular dysfunction did not completely match the study group of patients with Meniere's disease. Statistical analysis showed a direct statistical significant correlation between the pathologic TCD findings of vertebrobasilar circulation and Meniere's disease. According to abnormal findings of TCD in 27.69% patients, we think that 28% of patients with Meniere's disease suffer from insufficient supply of the vertebrobasilar circulation. TCD is an objective method of choice for the vascular diagnosis of hearing loss in patients with Meniere's disease.

摘要

本研究的目的是评估经颅多普勒(TCD)超声检查所获得的椎基底动脉(VB)病理结果与梅尼埃病患者听力障碍之间的相关性。对65例梅尼埃病患者的临床表现进行分析,并与椎基底动脉循环的经颅多普勒检查结果相关联。对照组由50例无听力损失、耳鸣或眩晕的心血管功能障碍患者组成,这些患者接受了TCD检查。心血管功能障碍患者的对照组与梅尼埃病患者的研究组并不完全匹配。统计分析表明,椎基底动脉循环的TCD病理结果与梅尼埃病之间存在直接的统计学显著相关性。根据27.69%患者的TCD异常结果,我们认为28%的梅尼埃病患者存在椎基底动脉循环供血不足。TCD是梅尼埃病患者听力损失血管诊断的客观首选方法。

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