中华医学杂志
中華醫學雜誌
중화의학잡지
National Medical Journal of China
2011年
46期
3254-3256
,共3页
眩晕%眼震,病理性%半规管%潜伏期
眩暈%眼震,病理性%半規管%潛伏期
현훈%안진,병이성%반규관%잠복기
Vertigo%Nystagmus,pathologic%Semicircular canals%Latency
目的 探讨重复检查对诊断良性阵发性位置性眩晕(BPPV)的重要性和相关临床特点.方法 回顾性分析复旦大学附属眼耳鼻喉医院耳鼻喉科2009年1月至2010年12月288例BPPV患者病例资料,观察需要多次检查获得确诊的病例的临床特点.结果 39例(13.5％)需要2次以上的体位诱发试验或者需要再次就诊才能诱发出典型的眼震,其中25例初诊时重复检查获得确诊,14例在复诊时获得确诊.需要多次检查者在年龄、性别构成及复位次数和总体无差别.需要多次检查者中水平半规管型BPPV比例为46.15％,明显高于总体的22.22％.另外在18例患者中观察到在第二次检查时出现潜伏期变短的现象.结论 对疑诊BPPV的患者,建议多次检查或安排复诊以观察到眼震.
目的 探討重複檢查對診斷良性陣髮性位置性眩暈(BPPV)的重要性和相關臨床特點.方法 迴顧性分析複旦大學附屬眼耳鼻喉醫院耳鼻喉科2009年1月至2010年12月288例BPPV患者病例資料,觀察需要多次檢查穫得確診的病例的臨床特點.結果 39例(13.5％)需要2次以上的體位誘髮試驗或者需要再次就診纔能誘髮齣典型的眼震,其中25例初診時重複檢查穫得確診,14例在複診時穫得確診.需要多次檢查者在年齡、性彆構成及複位次數和總體無差彆.需要多次檢查者中水平半規管型BPPV比例為46.15％,明顯高于總體的22.22％.另外在18例患者中觀察到在第二次檢查時齣現潛伏期變短的現象.結論 對疑診BPPV的患者,建議多次檢查或安排複診以觀察到眼震.
목적 탐토중복검사대진단량성진발성위치성현훈(BPPV)적중요성화상관림상특점.방법 회고성분석복단대학부속안이비후의원이비후과2009년1월지2010년12월288례BPPV환자병례자료,관찰수요다차검사획득학진적병례적림상특점.결과 39례(13.5％)수요2차이상적체위유발시험혹자수요재차취진재능유발출전형적안진,기중25례초진시중복검사획득학진,14례재복진시획득학진.수요다차검사자재년령、성별구성급복위차수화총체무차별.수요다차검사자중수평반규관형BPPV비례위46.15％,명현고우총체적22.22％.령외재18례환자중관찰도재제이차검사시출현잠복기변단적현상.결론 대의진BPPV적환자,건의다차검사혹안배복진이관찰도안진.
Objective To evaluate the importance of re-examinations in the diagnosis of benign paroxysmal positional vertigo(BPPV)and its clinical characteristics.Methods The medical records of 288 BPPV patients treated during January 2009 to December 2010 were reviewed and analyzed.The definite diagnosis was established by re-examinations.Results Among them,39(13.5％)were diagnosed by reexaminations or return visits.And 25 patients received a correct diagnosis on the first visit and 14 were diagnosed on return visits.Their ages,gender distribution and the times of particle-repositioning maneuver were the same as the overall profiles.The rate of horizontal semicircular canal BPPV was higher in the 39 reexamined patients than the overall rate(46.15％ vs 22.22％).And the latencies decreased during the second examination in 18 patients.Condusion Re-examinations and return visits are useful for diagnostic clarifications in the suspected BPPV patients.
