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超声计算机颅骨造影术在单侧梅尼埃病中的应用价值

Usefulness of Ultrasound-Computer-Craniocorpography in Unilateral Ménière's Disease.

作者信息

Maihoub Stephanie, Tamás László, Molnár András, Szirmai Agnes

机构信息

Department of Otorhinolaryngology and Head and Neck Surgery, Faculty of Medicine, Semmelweis University, Budapest, Hungary.

出版信息

Biomed Hub. 2019 May 13;4(2):1-7. doi: 10.1159/000500398. eCollection 2019 May-Aug.

Abstract

BACKGROUND

Ménière's disease (MD) is composed of a set of fluctuating symptoms, whereby vertigo is the most unpleasant among them and often accompanied by deterioration of the balance system.

OBJECTIVES

The purpose of this study is to objectively assess the Romberg and Unterberger-Fukuda tests by ultrasound-computer-craniocorpography (US-COMP-CCG) in patients suffering from MD and to characterize the balance disorders in different frames of MD.

METHODS

This is a case-control study where 51 patients with normal vestibular system and 42 patients suffering from definite MD were examined by US-COMP-CCG. They were divided into three grades according to the attack rates and the complaints of the patient during the attack-free periods.

RESULTS

Parameters of significance showing the worsening of the balance system with the aggravation of the disease are seen in both tests. In the standing test, the longitudinal and lateral sway and the forehead covering values are of importance, whereas in the stepping test, the parameter of relevance is the lateral sway.

CONCLUSIONS

The severity of worsening of the balance system, based on the objective results of the system parameters, are parallel to the worsening of MD based on our findings.

摘要

背景

梅尼埃病(MD)由一系列波动的症状组成,其中眩晕是最令人不适的症状,且常伴有平衡系统的恶化。

目的

本研究旨在通过超声计算机颅体造影(US-COMP-CCG)客观评估MD患者的罗姆伯格试验和翁特贝格尔-福田试验,并描述MD不同阶段的平衡障碍特征。

方法

这是一项病例对照研究,对51例前庭系统正常的患者和42例确诊为MD的患者进行了US-COMP-CCG检查。根据发作频率和患者在无发作期的主诉将他们分为三个等级。

结果

在两项试验中均观察到随着疾病加重平衡系统恶化的显著参数。在站立试验中,纵向和横向摆动以及前额覆盖值很重要,而在踏步试验中,相关参数是横向摆动。

结论

根据系统参数的客观结果,平衡系统恶化的严重程度与我们研究中MD的恶化程度平行。

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