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.
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.
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。
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