| 红外视频眼震检查在良性阵发性位置性眩晕诊断的应用 |
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| 引用本文： | 丁雷,刘博.红外视频眼震检查在良性阵发性位置性眩晕诊断的应用[J].中华耳科学杂志,2011,9(4):391-393. |
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| 作者姓名： | 丁雷 刘博 |
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| 作者单位： | 1. 北京中医药大学东方医院耳鼻喉科,北京市中医耳鼻咽喉科诊疗中心,北京100078
2. 首都医科大学附属同仁医院耳鼻咽喉头颈外科北京市耳鼻咽喉科研究所,北京,100730 |
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| 基金项目： | 北京中医药大学自主选题基金(JYB22-JS033) |
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| 摘 要： | 目的探讨眼震视图(VNG)应用于诊断良性阵发性位置性眩晕(BPPV)的价值。方法对50例拟诊BPPV患者,在视频眼动观察记录下完成DIX_Hallpike变位及ROLL滚转试验,判别受累半规管并采取相应手法复位。结果 (1)依据眼震特点和方向判断受累半规管1]:后半规管(PSC-BPPV)39例,占78%;水平半规管(HSC-BPPV)6例,占12%;前半规管(ASC-BPPV)1例,占2%;2个或2个以上半规管同时受累及4例,占8%;(2)以此为基础选择适当的手法进行复位治疗,1周后随访疗效:痊愈43例,有效6例,无效1例,总有效率98%。结论眼震视图对BPPV患者眼震情况的客观记录,提高了受累半规管的准确判别率,对于良性阵发性位置性眩晕诊断可以提供一种更为客观、精确的方法。
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| 关 键 词： | 眼震视图 良性阵发性位置性眩晕 |
VNG in diagnosis of benign paroxysmal positional vertigo |
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| DING Lei
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LIU Bo.VNG in diagnosis of benign paroxysmal positional vertigo[J].Chinese Journal of Otology,2011,9(4):391-393. |
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| Authors: | DING Lei LIU Bo |
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| Institution: | DING Lei1,LIU Bo2 1 Department of Otorhinolaryngolgy,Dongfang Affiliated Hospital,Beijing University of Chinese Medicine,Beijing 100078,China 2 Department of Otorhinolaryngology Head and Neck Surgery,Beijing Tongren Hospital,Capital Medical University Beijing 100730,China |
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| Abstract: | Objective To determine the value of VNG(videonystagmograph)in diagnosis of benign paroxysmal positional vertigo(BPPV).Methods Patients(n=50) who were diagnosed with BPPV completed DIX_Hallpike and ROLL tests wearing video goggles.The affected semicircular canal was determined and appropriate manual reduction maneuvers were implemented.Follow-up treatments were given after 1 week.Results Involvement of the posterior senicircular canals(PSC),horizontal senicircular canals(HSC) and anterior senicircular canals... |
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| Keywords: | Videonystagmograph Benign paroxysmal positional vertigo |
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