耳石复位在良性阵发性位置性眩晕治疗中的应用  

CANALITH REPOSITIONING IN THE TREATMENT OF BENIGN PAROXYSMAL POSITIONAL VERTIGO

作　　者：王明辉[1] 徐开旭[1] 张秋贵[2] 

机构地区：[1]天津市第四中心医院耳鼻咽喉头颈外科,天津300141 [2]青岛大学医学院附属医院耳鼻咽喉头颈外科

出　　处：《青岛大学医学院学报》2011年第6期531-532,534,共3页Acta Academiae Medicinae Qingdao Universitatis

摘　　要：目的探讨手法耳石复位在良性阵发性位置性眩晕(BPPV)治疗中的应用。方法回顾性总结2007年1月—2009年12月行耳石复位治疗的75例BPPV病人的临床资料。治疗首先确定责任半规管,然后行耳石复位。后及前半规管BPPV采用改良的Epley复位法,外半规管BPPV采用Barbecue翻滚法。结果经首次耳石复位治疗后体位性眩晕消失病人53例(70.6%),10例经过2次治疗、7例经过3次治疗后体位性眩晕消失,总有效率为93.3%。结论 BPPV治疗的关键是确定责任半规管,据此选择不同的耳石复位方法进行治疗。耳石复位治疗安全可靠,应为BPPV的首选治疗方法。Objective To discuss the use of manual reduction of canalith for benign paroxysmal positional vertigo（BPPV）.Methods A retrospective summary of 75 patients with BPPV（treated between January 2007 and December 2009） were conducted.The affected semicircular canal was determined first,and reduction of canalith then carried out.The posterior and anterior semicircular canals were reducted by modified Epley repositioning,and lateral semicircular canal by Barbecue rotation.Results Of 75 patients treated,positional vertigo completely disappeared in 53 patients（70.6%） after the first treatment,10 after the second therapy,and seven after the third one,with total effective rate being 93.3%.Conclusion The key of BPPV therapy is to determine the affected semicircular duct,and then to select different types of repositioning accordingly.Eardust resetting therapy is safe and reliable,which should be the first choice for BPPV.

关 键 词：眩晕 耳石膜 治疗 

分 类 号：R764.34[医药卫生—耳鼻咽喉科]