Department of Otolaryngology, West China Hospital of Sichuan University, Chengdu, Sichuan, China.
Department of Otolaryngology Head and Neck, Karolinska University Hospital, Karolinska Institute, Stockholm, Sweden.
Acta Otolaryngol. 2020 Jun;140(6):463-466. doi: 10.1080/00016489.2020.1725114. Epub 2020 Feb 12.
Horizontal canal BPPV (HC-BPPV) has a higher recurrence rate than PC-BPPV. Which maneuver is better for its prognosis is still uncertain. To compare the long-term recurrence rate after Gufoni and Barbecue maneuver. We prospectively collected 61 cases of HC-BPPV which were initially diagnosed in our hospital from the first episode, and had already ruled out other diseases. Roll them into Gufoni group and Barbecue group alternatively. After the maneuver, we followed them up until December 2016. Mean follow-up time was 49.25 months. The recurrence rate is 18.0% in the first year, 14.8% after the first year, and 31.1% overall. There is no statistically significant difference between Gufoni group and Barbecue group ( > .05). Age is statistically significant as a risk factor of recurrence (<.05). Barbecue maneuver is as good as Gufoni maneuver. The recurrence rate is only related to age. We suggest the disease relapsed within the 1st year as recurrence rather than a new disease.
水平半规管良性阵发性位置性眩晕(HC-BPPV)的复发率高于后半规管良性阵发性位置性眩晕(PC-BPPV)。哪种复位手法对其预后更好尚不确定。为比较 Gufoni 复位法与 Barbecue 复位法的长期复发率,我们前瞻性收集了我院首发的 61 例 HC-BPPV 患者,均已排除其他疾病。将其交替分为 Gufoni 组和 Barbecue 组。手法复位后随访至 2016 年 12 月,平均随访时间为 49.25 个月。第 1 年复发率为 18.0%,第 1 年后复发率为 14.8%,总复发率为 31.1%。Gufoni 组和 Barbecue 组之间差异无统计学意义(>0.05)。年龄是复发的独立危险因素(<.05)。Barbecue 复位法与 Gufoni 复位法效果相当,复发率仅与年龄有关。我们建议第 1 年内复发的疾病视为复发,而非新发疾病。