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鼻咽癌放疗致位置性眩晕(附3例报告)
引用本文:杨新明,卢永德,谢鼎华,舒建波. 鼻咽癌放疗致位置性眩晕(附3例报告)[J]. 临床耳鼻咽喉头颈外科杂志, 2000, 14(4): 164-165
作者姓名:杨新明  卢永德  谢鼎华  舒建波
作者单位:1. 湖南医科大学附属第二医院耳鼻咽喉科,长沙,410011
2. 湖南省湘乡市人民医院
摘    要:目的:探讨电离辐射对内耳前庭的影响。方法:报道鼻咽癌(NPC)放疗致发作性位置性眩晕(BPPV)伴听力减退患者3例。采用耳石微粒复位法(PRM)治疗BPPV,针对听力减退给予丹参治疗。结果:3例BPPV,2例痊愈,1例显效,听力下降的4耳语音频率平均提高10dB。结论:BPPV可能与辐射所致的前庭损害有关,PRM是治疗BPPV是一种有效方法。

关 键 词:位置性眩晕 放射疗法 鼻咽癌 病例报告

Benign paroxysmal positional vertigo following radiotherapy for nasopharyngeal carcinoma (report of 3 cases)
YANG Xin-ming,LU Yong-de,XIE Ding-hua,SHU Jian-bo. Benign paroxysmal positional vertigo following radiotherapy for nasopharyngeal carcinoma (report of 3 cases)[J]. Journal of clinical otorhinolaryngology, head, and neck surgery, 2000, 14(4): 164-165
Authors:YANG Xin-ming  LU Yong-de  XIE Ding-hua  SHU Jian-bo
Abstract:Objective:To investigate the effect of ionizing radiation on the vestibule of the inner ear.Method:Three patients with benign paroxysmal positional vertigo (BPPV) accompanied by hearing loss following radiotherapy for nasopharyngeal carcinoma (NPC) were reported.Particle repositioning maneuver (PRM) was used as treatment for BPPV,and salvia miltiorrhiza tablets were taken orally to treat hearing loss.Result:Two of three cases with BPPV recovered and one was effective;Mean phone frequency hearing increased 10 dB compared with that before therapy.Conclusion:Occurence of BPPV in this series may be related to radiation damage on the vestibule;PRM is a effective modality for the patients with BPPV.
Keywords:Benign paroxysmal positional vertigo Labyrinth Radiotherapy Radiation injuries
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