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[单侧内淋巴积水豚鼠梯形旋转试验结果]

[Results of trapezoid rotation test in guinea pigs with unilateral endolymphatic hydrops].

作者信息

Kamimura T

机构信息

Department of Otolaryngology, Hirosaki University School of Medicine.

出版信息

Nihon Jibiinkoka Gakkai Kaiho. 1990 May;93(5):731-9. doi: 10.3950/jibiinkoka.93.731.

Abstract

Obliteration of the right endolymphatic sac was performed by Kimura's method in 57 guinea pigs with normal hearing and vestibular function. However, 43 animals exhibited postoperative cerebellopontile disturbance and labyrinthitis detected by gait test, ABR test and histological examination. The remaining 14 guinea pigs were evaluated periodically by the trapezoid rotation test. Two weeks after the operation, 11 of these 14 guinea pigs exhibited prolonged right beating nystagmus based on the labyrinthine preponderance of impaired side (Lpi). In addition, endolymphatic hydrops was histological detected in the labyrinth on the operation side. A positive relation was observed between the degree of endolymphatic hydrops and the degree of Lpi. Lpi at 4 weeks after the operation was markedly lower than that at 2 weeks (P = 0.05). Therefore, the degree of Lpi was thought to be influenced by the rate of hydrops development. These results corresponded with the clinical findings that the degree of Lpi increases prior to vertiginous episodes in Meniere's patients.

摘要

采用木村法对57只听力和前庭功能正常的豚鼠进行右侧内淋巴囊闭塞术。然而,43只动物术后出现了通过步态试验、听性脑干反应(ABR)测试和组织学检查检测到的桥小脑紊乱和迷路炎。其余14只豚鼠通过梯形旋转试验定期评估。术后两周,这14只豚鼠中有11只基于患侧迷路优势(Lpi)出现了右侧跳动性眼震延长。此外,在手术侧迷路中组织学检测到内淋巴积水。观察到内淋巴积水程度与Lpi程度之间存在正相关关系。术后4周的Lpi明显低于术后2周(P = 0.05)。因此,认为Lpi程度受积水发展速度的影响。这些结果与梅尼埃病患者眩晕发作前Lpi程度增加的临床发现相符。

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