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腹腔镜手术后继发的良性阵发性位置性眩晕

Benign paroxysmal positional vertigo secondary to laparoscopic surgery.

作者信息

Shan Xizheng, Wang Amy, Wang Entong

机构信息

Department of Otolaryngology Head and Neck Surgery and Institute of Vertigo, General Hospital of Chinese People's Armed Police Forces, Beijing, China.

Accident and Emergency Department, Aintree University Hospital, Liverpool, UK.

出版信息

SAGE Open Med Case Rep. 2017 Feb 8;5:2050313X17692938. doi: 10.1177/2050313X17692938. eCollection 2017.

DOI:10.1177/2050313X17692938
PMID:28255446
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5315360/
Abstract

OBJECTIVES

Benign paroxysmal positional vertigo is a common vestibular disorder and it may be idiopathic or secondary to some conditions such as surgery, but rare following laparoscopic surgery.

METHODS

We report two cases of benign paroxysmal positional vertigo secondary to laparoscopic surgery, one after laparoscopic cholecystectomy in a 51-year-old man and another following laparoscopic hysterectomy in a 60-year-old woman.

RESULTS

Both patients were treated successfully with manual or device-assisted canalith repositioning maneuvers, with no recurrence on the follow-up of 6 -18 months.

CONCLUSIONS

Benign paroxysmal positional vertigo is a rare but possible complication of laparoscopic surgery. Both manual and device-assisted repositioning maneuvers are effective treatments for this condition, with good efficacy and prognosis.

摘要

目的

良性阵发性位置性眩晕是一种常见的前庭疾病,可能为特发性,也可能继发于某些情况,如手术,但腹腔镜手术后罕见。

方法

我们报告两例继发于腹腔镜手术的良性阵发性位置性眩晕病例,一例是51岁男性在腹腔镜胆囊切除术后发生,另一例是60岁女性在腹腔镜子宫切除术后发生。

结果

两名患者均通过手法或设备辅助的耳石复位手法成功治疗,在6至18个月的随访中无复发。

结论

良性阵发性位置性眩晕是腹腔镜手术罕见但可能出现的并发症。手法和设备辅助复位手法都是治疗这种情况的有效方法,疗效和预后良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c22/5315360/33ad2be500b5/10.1177_2050313X17692938-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c22/5315360/33ad2be500b5/10.1177_2050313X17692938-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c22/5315360/33ad2be500b5/10.1177_2050313X17692938-fig1.jpg

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本文引用的文献

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Benign paroxysmal positional vertigo: Diagnostic criteria.良性阵发性位置性眩晕:诊断标准。
J Vestib Res. 2015;25(3-4):105-17. doi: 10.3233/VES-150553.
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Benign paroxysmal positional vertigo (BPPV): it may occur after dental implantology. A mini topical review.良性阵发性位置性眩晕(BPPV):可能发生于牙种植术后。一项小型专题综述。
Eur Rev Med Pharmacol Sci. 2015 Oct;19(19):3543-7.
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Efficacy of Computer-Controlled and Modified Roll Maneuver for Treatment of Geotropic Lateral Canal Benign Paroxysmal Positional Vertigo.计算机控制改良翻滚法治疗地向性水平半规管良性阵发性位置性眩晕的疗效
Otol Neurotol. 2015 Sep;36(8):1412-6. doi: 10.1097/MAO.0000000000000813.
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Repositioning chairs in benign paroxysmal positional vertigo: implications and clinical outcome.良性阵发性位置性眩晕中椅子复位:影响因素及临床结果
Eur Arch Otorhinolaryngol. 2016 Mar;273(3):573-80. doi: 10.1007/s00405-015-3583-z. Epub 2015 Mar 7.
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Efficacy of computer-controlled repositioning procedure for benign paroxysmal positional vertigo.计算机控制复位程序治疗良性阵发性位置性眩晕的疗效
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Curing a 96-year-old patient afflicted with benign paroxysmal positional vertigo on a motorized turntable.在电动转台上治愈了一位患有良性阵发性位置性眩晕的 96 岁患者。
Clin Interv Aging. 2014 Apr 8;9:589-91. doi: 10.2147/CIA.S58785. eCollection 2014.
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Onset of benign paroxysmal positional vertigo after total laparoscopic hysterectomy in the Trendelenburg position.在头低脚高位行全腹腔镜子宫切除术术后出现良性阵发性位置性眩晕。
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Clinical practice guideline: benign paroxysmal positional vertigo.临床实践指南:良性阵发性位置性眩晕
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BPPV and variants: improved treatment results with automated, nystagmus-based repositioning.良性阵发性位置性眩晕及其变体:基于眼震的自动化复位治疗效果更佳
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