| 外周性双侧前庭病的听-前庭功能与诊断 |
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| 引用本文： | 区永康,陈玲,杨海弟,许耀东,朱洪蕾,郑亿庆. 外周性双侧前庭病的听-前庭功能与诊断[J]. 中华耳科学杂志, 2011, 9(4): 394-397 |
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| 作者姓名： | 区永康 陈玲 杨海弟 许耀东 朱洪蕾 郑亿庆 |
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| 作者单位： | 中山大学孙逸仙纪念医院耳鼻喉科,广州,510120 |
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| 基金项目： | 广东省科技计划研究项目(2008B080703028) |
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| 摘 要： | 目的探讨外周性双侧前庭病的听-前庭功能特点及其在诊断中的价值。方法对自2006年12月～2010年10月我科眩晕专科诊治的具步态不稳和振动幻视特征性症状的外周性双侧前庭病53例,行听-前庭功能检查和病因分析。结果明确或可能病因42例(79.2%),原因不明者11例(20.8%)。听力正常10例(18.9%)、异常43(81.1%)。冷热试验:双侧前庭功能低下共49例(92.5%),双侧前庭功能丧失4例(7.5%)。头脉冲试验病理阳性38例(71.7%)。接受动态姿势描记图检查39例,显示不同程度的前庭输入下降或前庭输入为主下降。结论双侧前庭病的诊断根据病史、特征性的临床表现及听-前庭功能检查,冷热试验及头脉冲试验结合有诊断价值,听力学检查有助原发疾病的诊断。
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| 关 键 词： | 双侧前庭病 诊断 听力学 前庭功能 |
Auditory-vestibular function and diagnosis of bilateral peripheral vestibulopathy |
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| OU Yong-kang , CHEN Ling , YANG Hai-di , XU Yao-dong , ZHU Hong-lei , ZHENG Yi-qing. Auditory-vestibular function and diagnosis of bilateral peripheral vestibulopathy[J]. Chinese Journal of Otology, 2011, 9(4): 394-397 |
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| Authors: | OU Yong-kang CHEN Ling YANG Hai-di XU Yao-dong ZHU Hong-lei ZHENG Yi-qing |
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| Affiliation: | OU Yong-kang,CHEN Ling,YANG Hai-di,XU Yao-dong,ZHU Hong-lei,ZHENG Yi-qing Department of Otolaryngology,Sun Yat-Sen Memorial Hospital,Sun Yat-Sen University,Guangzhou 510120,China |
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| Abstract: | Objective To investigate features of auditory-vestibular function in bilateral peripheral vestibulopathy and their values in the diagnosis.Methods Fifty-three patients with characteristic symptoms of oscillopsia and gait ataxia were diagnosed with peripheral bilateral vestibulopathy between December 2006 and October 2010.The auditory-vestibular function in these patients was analyzed,in an attempt to determine etiology.Results Among the 53 cases,definite or possible causes were identified in 42 cases(79.2%)... |
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| Keywords: | Bilateral Vestibulopathy Diagnosis Audiology Vestibular function |
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