CAJ | 학술논문

目的：探讨应用眼震电图检查前半规管良性位置性眩晕（ ASC-BPPV）眼震电图定位模式的合理性，评价在此诊断基础上采用反式Epley耳石复位法（ T-CRP）的疗效。方法收集8例诊断为ASC-BPPV患者的临床资料。其中右侧ASC-BPPV 6例，左侧ASC-BPPV 2例，病程1周～6月。所有病例均进行眼震电图定位模式定位后行反式CRP治疗，观察其临床疗效。结果8例ASC-BPPV的眼震表现均符合ASC-BPPV眼震电图定位模式，经反式CRP治疗后8例眩晕均得到不同程度缓解，总有效率达100％。5例达到痊愈效果，占62．5％，3例治疗有效，占37．5％。结论 ASC-BPPV的眼震电图定位模式符合临床客观资料，其与内耳解剖密切相关，临床上反式CRP是针对ASC-BPPV的一种有效治疗方案。
목적：탐토응용안진전도검사전반규관량성위치성현훈（ ASC-BPPV）안진전도정위모식적합이성，평개재차진단기출상채용반식Epley이석복위법（ T-CRP）적료효。방법수집8례진단위ASC-BPPV환자적림상자료。기중우측ASC-BPPV 6례，좌측ASC-BPPV 2례，병정1주～6월。소유병례균진행안진전도정위모식정위후행반식CRP치료，관찰기림상료효。결과8례ASC-BPPV적안진표현균부합ASC-BPPV안진전도정위모식，경반식CRP치료후8례현훈균득도불동정도완해，총유효솔체100％。5례체도전유효과，점62．5％，3례치료유효，점37．5％。결론 ASC-BPPV적안진전도정위모식부합림상객관자료，기여내이해부밀절상관，림상상반식CRP시침대ASC-BPPV적일충유효치료방안。
Objective To explore effective mode for locating diagnosis of anterior semicircular canal -benign paroxysmal positional vertigo ( ASC-BPPV) depending on Videonystagmography and treatment of trans -canalith repositioning proce-dure (T-CRP).Methods We Collected 8 cases diagnosed as ASC -BPPV.6 cases of them were the right ASC -BPPV, 2 cases were the left ASC -BPPV, The length of duration of disease was 1 week to 6 months.All cases were diagnosed by Videonystagmography T -CRP on the basis of the mode of locating diagnosis of ASC -BPPV were applied to eight cases of ASC-BPPV,then the feature of VNG of them and clinical therapeutic effect were evaluated .Results The feature of VNG in the eight cases of ASC -BPPV consistent with the mode for diagnosis of ASC -BPPV,Vertigo of 8 cases inclined to differ-ent degree resolution of symptoms during period of follow -up after treatment with trans CRP .Total effective rate was 100%.and five of them were cured finally (62.5%) and three cases were effective (37.5%).Conclusion The diagnosis model of ASC-BPPV was more consistent with the clinical data ,which was closely related to the dissection of the semicir-cular canal ,The T-CRP therapy is an effective therapeutic schedule for ASC -BPPV and should be applied for all patients who were diognosised to the ASC -BPPV.