| 刘一苇,李亦凡,邱建新.冷热试验在梅尼埃病与良性阵发性位置性眩晕鉴别诊断中的应用[J].安徽医药,2021,25(9):1809-1811. |
| 冷热试验在梅尼埃病与良性阵发性位置性眩晕鉴别诊断中的应用 |
| The application of caloric test in differential diagnosis between Ménière disease and benign paroxysmal positional vertigo |
| |
| DOI：10.3969/j.issn.1009-6469.2021.09.026 |
| 中文关键词: 梅尼埃病 良性阵发性位置性眩晕 视频眼震电图 冷热试验 |
| 英文关键词: Ménière disease Benign paroxysmal positional vertigo Videonystagmograph Caloric test |
| 基金项目: |
|
| 摘要点击次数: 1488 |
| 全文下载次数: 414 |
| 中文摘要: |
| 目的探究冷热实验在两种最常见外周性前庭性眩晕性疾病:良性阵发性位置性眩晕( BPPV)与梅尼埃病( Ménière disease)中的临床应用价值。方法收集 2019年 1月至 2020年 1月安徽医科大学第一附属医院耳鼻咽喉头颈外科门诊诊断为 BPPV的病人 55例、梅尼埃病的病人 40例。两种疾病患耳、健耳进行自身对比分析和相互对比分析其冷热检测结果及临床表现。结果 BPPV单侧发病病人为 51例，单侧病人中患耳半规管瘫痪( CP)异常者为 16例，健耳 CP异常者为 10例，患耳、健耳间 CP结果差异无统计学意义( P>0.05)。单侧梅尼埃病 26例，冷热试验结果:患耳 CP异常者为 21例，健耳 CP异常者为 5例，患耳、健耳 CP结果差异有统计学意义( P<0.001)。 55例 BPPV组中 CP异常 24例( 43.64%)40例梅尼埃病组中 CP异常 30例(75.00%)差异有统计学意义( P<0.001)。结论冷热试验对 BPPV与梅尼埃病之间的鉴断有临床意义。对梅尼埃病的别诊，诊断、定位患，侧有临床应用价值。而冷热试验对 BPPV病人的诊断无特殊意义。 |
| 英文摘要: |
| Objective To explore the clinical application value of the caloric test in the two most common peripheral vestibular vertigo diseases: benign paroxysmal positional vertigo (otolithiasis, BPPV) and Ménière disease.Methods Fifty-five cases diagnosed asBPPV and 40 cases as Ménière disease in the Outpatient Department of Otolaryngology, Head and Neck Surgery, The First AffiliatedHospital of Anhui Medical University were collected. The diseased ear of the patients were compared with the healthy ear in both selfand mutual way, and the caloric test results and clinical manifestations were compared and analyzed.Results There were 51 cases with unilateral BPPV, among whom 16 cases had abnormal semicircular canal paralysis (CP) and 10 cases had abnormal CP in thehealthy ear. There was no statistically significant difference in CP results between the diseased ear and the healthy ear (P>0.05).. Therewere 26 cases with unilateral Ménière disease. The results of the caloric test showed that 21 cases had abnormal CP in diseased ear,and 5 cases had abnormal CP in healthy ear. There was statistically significant difference in CP results between the diseased ear andthe healthy ear (P<0.001). There were 24 (43.64%) cases with abnormal CP among 55 cases with BPPV and 30 (75.00%) cases with abnormal CP among 40 cases with Ménière disease; the difference was statistically significant (P<0.001).Conclusions The caloric test is clinically significant in the differential diagnosis between BPPV and Ménière disease. It has clinical application value for the diagnosis and positioning of the affected side of Ménière disease, while the caloric test has no special significance for the diagnosis of BPPV. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |
