Zhu M C, Zhou F, Tan G J, Wang M, Yu F, Wang H T, Huang L F, Liang Z J
Department of Otorhinolaryngology, Otorhinolaryngology Head and Neck Surgery Hospital of Guangzhou(Guangzhou No.12 Hospital), Otorhinolaryngology Head and Neck Surgery Institute of Guangzhou Medical University, Guangzhou,510620,China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2016 Oct 20;30(20):1615-1619. doi: 10.13201/j.issn.1001-1781.2016.20.009.
To explore treatment and therapeutic effectiveness of patients with Meniere' s disease and benign paroxysmal positional vertigo. A series of BPPV 60 cases was retrospective analyzed. The patients were divided into three groups: Meniere' s disease with multiple semicircular canal BPPV(n=6), with single semicircular canal BPPV (n=11) and BPPV without Meniere' s disease group(Control,n=43). All patients were diagnosed by the Dix-Hallpike test or roll test and treated with the canalith repositioning procedure. The outcomes were compared among the three groups. Unilateral semicircular canal BPPV was more than bilateral BPPV, the posterior semicircular canal was the most common canal involved, and multiple semicircular canal BPPV with Meniere' s disease patients needed repeated canalith repositioning procedure and had a higher recurrence rate.A lower success rate of treatment and a higher recurrence rate was found in BPPV patients with Meniere' s disease compared with those without Meniere' s disease . The recurrence rate is highest in multiple semicircular canal BPPV with Meniere' s disease.
探讨梅尼埃病合并良性阵发性位置性眩晕患者的治疗方法及疗效。回顾性分析60例耳石症患者。将患者分为三组:梅尼埃病合并多半规管耳石症组(n = 6)、合并单半规管耳石症组(n = 11)和非梅尼埃病耳石症组(对照组,n = 43)。所有患者均经Dix-Hallpike试验或滚转试验确诊,并采用耳石复位法进行治疗。比较三组治疗效果。单侧半规管耳石症多于双侧耳石症,后半规管是最常受累的半规管,梅尼埃病合并多半规管耳石症患者需要反复进行耳石复位法治疗且复发率较高。与非梅尼埃病耳石症患者相比,梅尼埃病耳石症患者的治疗成功率较低且复发率较高。梅尼埃病合并多半规管耳石症的复发率最高。