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耳硬化症患者的前庭系统异常

Vestibular system abnormalities in otosclerotic subjects.

作者信息

Parnes S, Black F O, Wall C, O'Leary D P, Feltyberger E

出版信息

Otolaryngology. 1978 Jan-Feb;86(1):ORL-98-106. doi: 10.1177/019459987808600122.

DOI:10.1177/019459987808600122
PMID:114928
Abstract

A technique to quantify the tandem Romberg test (posturography) was used to study ten patients with otosclerosis before (series 1), 48 hours after (series 2), and between two to four months after (series 3) a stapedectomy. The results were analyzed by power spectrum analysis and then compared to findings from electronystagmographic testing performed with series 1 and 3. There was no significant change in the electronystagmography (ENG) test findings between series 1 and 3. Posturography, however, demonstrated an uncompensated vestibular pattern in the immediate postoperative period which, after two months, converted to a compensated vestibular pattern. Posturography serves as a useful quantitative test for the study of patients with balance disorders because the procedure supplements rather than complements the ENG. In addition, posturography detects vestibular reflex abnormalities in stapedectomized patients two months afterwards. Other testing modalities have not consistently demonstrated this postoperative vestibular system instability.

摘要

采用一种量化串联罗姆伯格试验(姿势描记法)的技术,对10例耳硬化症患者在镫骨切除术之前(第1组)、术后48小时(第2组)以及术后两到四个月之间(第3组)进行了研究。通过功率谱分析对结果进行分析,然后与第1组和第3组进行眼震电图测试的结果进行比较。第1组和第3组之间,眼震电图(ENG)测试结果无显著变化。然而,姿势描记法显示,术后即刻存在未代偿的前庭模式,两个月后转变为代偿的前庭模式。姿势描记法是研究平衡障碍患者的一种有用的定量测试方法,因为该检查是对眼震电图的补充而非辅助。此外,姿势描记法可在镫骨切除术后两个月检测到患者的前庭反射异常。其他测试方式并未始终显示出这种术后前庭系统的不稳定性。

相似文献

1
Vestibular system abnormalities in otosclerotic subjects.耳硬化症患者的前庭系统异常
Otolaryngology. 1978 Jan-Feb;86(1):ORL-98-106. doi: 10.1177/019459987808600122.
2
[Vertigo and objective vestibular symptoms in computer analysis of ENG in otosclerotic patients and after stapes operations].[耳硬化症患者及镫骨手术后ENG计算机分析中的眩晕与客观性前庭症状]
Otolaryngol Pol. 2000;54(4):415-21.
3
[State of vestibular function in otosclerosis patients in the preoperative and early postoperative periods (according to electronystagmographic findings)].耳硬化症患者术前及术后早期的前庭功能状态(根据眼震电图检查结果)
Zh Ushn Nos Gorl Bolezn. 1976 May-Jun(3):81-2.
4
[Fukuda writing test in the evaluation of vestibular reactions during stapedioplasty and in the first days thereafter].[在镫骨手术期间及其后最初几天评估前庭反应时的福田书写试验]
Zh Ushn Nos Gorl Bolezn. 1975 Sep-Oct(5):23-8.
5
[Peculiarities of vestibular function of the unoperated ear in patients with otosclerosis in connection with stapes surgery].[耳硬化症患者镫骨手术相关的未手术耳前庭功能特点]
Vestn Otorinolaringol. 1972 May-Jun;34(3):35-40.
6
The pre- and postoperative ENG findings in clinical otosclerosis and the late hearing results.临床耳硬化症的术前和术后眼震电图检查结果及远期听力结果。
Acta Otolaryngol. 1978 May-Jun;85(5-6):313-7. doi: 10.3109/00016487809121456.
7
[Vertigo in patients with otosclerosis and post stapedectomy].[耳硬化症患者及镫骨切除术后的眩晕]
Otolaryngol Pol. 1992;46(1):62-7.
8
[Vestibular function after surgical treatment of otosclerosis].[耳硬化症手术治疗后的前庭功能]
Valsalva. 1970 Dec;46(6):251-61.
9
Clinical assessment of postural stability.姿势稳定性的临床评估。
Am J Otol. 1993 Nov;14(6):566-9.
10
Balance after stapedectomy: the measurement of spontaneous sway by posturography.镫骨切除术后的平衡:通过姿势描记法测量自发性摆动
Clin Otolaryngol Allied Sci. 1996 Aug;21(4):353-6. doi: 10.1111/j.1365-2273.1996.tb01086.x.