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Semont方法治疗40例后半规管良性发作性位置性眩晕
引用本文:庄建华,黄坚,赵忠新,赵瑛,周晖,王文昭,田国红. Semont方法治疗40例后半规管良性发作性位置性眩晕[J]. 临床耳鼻咽喉头颈外科杂志, 2005, 19(7): 300-301,304
作者姓名:庄建华  黄坚  赵忠新  赵瑛  周晖  王文昭  田国红
作者单位:第二军医大学附属长征医院神经内科,上海,200003;第二军医大学附属长征医院神经内科,上海,200003;第二军医大学附属长征医院神经内科,上海,200003;第二军医大学附属长征医院神经内科,上海,200003;第二军医大学附属长征医院神经内科,上海,200003;第二军医大学附属长征医院神经内科,上海,200003;第二军医大学附属长征医院神经内科,上海,200003
摘    要:目的:探讨Semont方法对后半规管良性发作性位置性眩晕(PC-BPPV)的治疗效果。方法:对40例PC-BPPV患者按Semont方法进行治疗。结果:经1次Semont方法治疗后,32例症状消失,首次治疗成功率为80%,其中病程在1周内的19例患者有16例症状消失。3例经2次、2例经3次、1例经4次治疗后症状消失,总治疗成功率为95%,2例无效。随访至今,5例复发,复发率12.5%,复发者再行Semont方法治疗仍有效。结论:Semont方法治疗PC—BPPV安全有效。

关 键 词:眩晕  位置性  半规管  耳石  颗粒复位手法
文章编号:1001-1781(2005)07-0300-03
修稿时间:2004-10-09

The treatment of Semont maneuver for 40 patients with posterior semicircular canal benign paroxysmal positional vertigo
ZHUANG Jianhua,HUANG Jian,ZHAO Zhongxin,ZHAO Ying,ZHOU Hui,WANG Wenzhao,TIAN Guohong. The treatment of Semont maneuver for 40 patients with posterior semicircular canal benign paroxysmal positional vertigo[J]. Journal of clinical otorhinolaryngology, head, and neck surgery, 2005, 19(7): 300-301,304
Authors:ZHUANG Jianhua  HUANG Jian  ZHAO Zhongxin  ZHAO Ying  ZHOU Hui  WANG Wenzhao  TIAN Guohong
Affiliation:Department of Neurology, Changzheng Hospital, the Second Military Medical University, Shanghai, 200003, China. ad50181030@online.sh.cn
Abstract:Objective:To evaluate the effectiveness of Semont maneuver for posterior semicircular canal benign paroxysmal positional vertigo(PC-BPPV).Method:Forty patients with PC-BPPV were treated with Semont maneuver from January to August in 2004.Result:After a single treatment session of Semont maneuver,the symptoms disappeared completely in 32 patients,the first success rate was 80%.Among 19 patients who had only 1 week duration of PC-BPPU,the symptoms disappeared in 16 patients after a single treatment.The symptoms disappeared in 3 patients after twice,2 patients after 3 times and 1 patient after 4 times of Semont maneuver sessions,the total success rate was 95%.No effectiveness was found 2 patients;PC-BPPU recurred in 5 patients during follow-up and the recurrent rate was 12.5%.it was still effective for another Semont maneuver therapy session.Conclusion:The Semont maneuver therapy is safe and effective for PC-BPPV.Repeated Semont maneuver therapy is still effective for them.
Keywords:Positional vertigo  Semicircular Canals  Otoliths  Semont maneuver
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