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突聋伴发良性阵发性位置性眩晕诊治分析
引用本文:李菊兰,蔡华成,徐海,巫燕.突聋伴发良性阵发性位置性眩晕诊治分析[J].听力学及言语疾病杂志,2011,19(5):428-430.
作者姓名:李菊兰  蔡华成  徐海  巫燕
作者单位:武警四川总队层院耳鼻咽喉头颈外科 武警部队耳鼻咽喉-头颈外科中心(乐山614000)
摘    要:目的探讨突聋伴发良性阵发性位置性眩晕(benign paroxysmal positional vertigo,BPPV)的临床特点。方法 24例突聋伴发BPPV的患者均行Dix-hallpike、Roll-test、Side-lying test变位实验确诊,按不同听力分型进行突聋治疗的同时行不同受累半规管的手法复位治疗,并对受累半规管、听力情况、年龄因素进行分析。结果 24例患者年龄主要为40岁以上,其中左侧11例(外半规管6例、后半规管3例、后+外半规管2例),右侧13例(外半规管7例、后半规管3例、后+外半规管3例),双侧发病率无统计学差异(P>0.05);听力曲线类型:全聋17人,平坦型(重度聋)5人,中频型(中重度聋)2人。结论突聋的发病因素同时可导致耳石器功能障碍,双耳发病率无差别,听力损失越重耳石器受累越重。

关 键 词:突聋  良性阵发性位置性眩晕  半规管

The Benign Paroxysmal Positional Vertigo and Sudden Deafness:The Clinical Charactevistics and Assessment
Li Julan,Cai Huacheng,Xu Hai,Wu Yan.The Benign Paroxysmal Positional Vertigo and Sudden Deafness:The Clinical Charactevistics and Assessment[J].Journal of Audiology and Speech Pathology,2011,19(5):428-430.
Authors:Li Julan  Cai Huacheng  Xu Hai  Wu Yan
Institution:Li Julan,Cai Huacheng,Xu Hai,Wu Yan(Department of Otorhinolaryngology Head and Neck Surgery,Sichuan Corp's Hospital,The Chinese People's Armed Police Forces,Leshan,614000,China)
Abstract:Objective To explore the clinica1 characteristics of the benign paroxysmal positional vertigo(BPPV)secondary to the sudden deafness.Methods 24 patients with BPPV secondary to the sudden deafness has been diagnosed by Dix-hallpike,Roll-test,Side-lying test and and subsequently treated with Epley or Barbecue maneuver.The affected side and audiogram types and ages were retrospectively analyzed.Results The affected side between the two had no difference among these cases and profound all-frequency hearing loss ...
Keywords:Sudden deafness  BPPV  Semicircular canal  
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