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梅尼埃病的随访前庭检查。

Follow-up vestibular examination in Menière's disease.

作者信息

Hulshof J H, Baarsma E A

出版信息

Acta Otolaryngol. 1981 Nov-Dec;92(5-6):397-401. doi: 10.3109/00016488109133278.

DOI:10.3109/00016488109133278
PMID:7315260
Abstract

A retrospective study was carried out on repeated audio-vestibular examinations in 53 patients with unilateral Meniere's disease, between the vertiginous spells. Most patients showed no change in the caloric response reduction of the afflicted ear in the subsequent tests compared with the first one. These patients had a comparatively long illness duration, a small percentage of fluctuations in the pure tone audiogram and mostly flat or falling type curves. A minority of patients showed an increase in or a fluctuating caloric test reduction. This group consists of patients with a short disease duration, mostly a fluctuating pure tone audiogram and rising or dome-shaped curves. The hearing loss and the caloric test reduction appear to deteriorate mainly in the first years of the disease. A certain parallelism between the course of vestibular and audiological damage seems to be present.

摘要

对53例单侧梅尼埃病患者在眩晕发作间歇期进行多次听-前庭检查,进行了一项回顾性研究。与首次检查相比,大多数患者在随后的检查中患耳的冷热试验反应减退无变化。这些患者病程相对较长,纯音听力图波动百分比小,曲线大多为平坦型或下降型。少数患者冷热试验减退增加或波动。该组患者病程短,纯音听力图大多波动,曲线为上升型或圆顶型。听力损失和冷热试验减退似乎主要在疾病的最初几年恶化。前庭和听力学损害的病程之间似乎存在一定的平行关系。

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