Barbecue法治疗向地性眼震型水平半规管良性阵发性位置性眩晕耳石半规管转换临床分析  

Clinical analysis on canal conversion of otolith in the treatment of geotropic nystagmus horizontal semicircular canal benign proxysmal positional vertigo by Barbecue maneuver

作　　者：耿娟娟 黄惠娥 张弛 崔勇[2] GENG Juan-juan;HUANG Hui-e;ZHANG Chi;CUI Yong(Department of Otorhinolaryngology,Guangzhou Hospital of Integrated Traditional and West Medicine, Guangzhou 510800,Guangdong,China;Department of Otorhinolaryngology Head and Neck Surgery,Guangdong General Hospital,Guangzhou 510080,Guangdong,China)

机构地区：[1]广东省广州市中西医结合医院耳鼻咽喉科,510800 [2]广东省人民医院耳鼻咽喉-头颈外科,广州510080

出　　处：《中国现代神经疾病杂志》2019年第2期90-93,共4页Chinese Journal of Contemporary Neurology and Neurosurgery

基　　金：广东省自然科学基金资助项目(项目编号:2015A030313535)~~

摘　　要：目的探讨Barbecue法治疗向地性眼震型水平半规管良性阵发性位置性眩晕过程中耳石发生半规管转换的正确诊断与治疗方法。方法与结果选择2010年1-12月共66例符合向地性眼震型水平半规管良性阵发性位置性眩晕诊断的病例,施以Barbecue法复位治疗,治疗过程中6例(9.09%)转变为后半规管耳石、10例(15.15%)转变为背地性眼震;50例(75.76%)未发生半规管转换,3例(4.55%)治疗后30 d随访时复发。治疗后30d随访时,治疗总有效率达95.45%(63/66),无一例发生严重不良反应。结论向地性眼震型水平半规管良性阵发性位置性眩晕手法复位过程中可能发生耳石半规管转换,应密切关注眼震特点,务求尽早发现并再次行手法复位。Objective To explore the correct diagnosis and treatment of canal conversion of otolith in the treatment of geotropic nystagmus horizontal semicircular canal benign paroxysmal positional vertigo(BPPV) by Barbecue maneuver. Methods and Results There were 66 patients with geotropic nystagmus horizontal semicircular canal BPPV treated by Barbecue maneuver from January to December 2010 in Guangdong General Hospital. Among 66 cases, 6 cases(9.09%) were transformed to posterior semicircular canal BPPV and 10 cases(15.15%) were transformed to apogeotropic nystagmus. Among 50 cases (75.76%) who did not show transition, 3 cases(4.55%) were found relapsed on the 30 th day of follow-up.The total effective rate was 95.45%(63/66). No one suffered from severe adverse events. Conclusions During the maneuver treatment of geotropic nystagmus horizontal semicircular canal BPPV, canalconversion of otolith could happen. Therefore, characteristics of nystagmus should be concerned, and exact diagnosis and repeated maneuver treatment is the key to success.

关 键 词：眩晕 耳石膜 半规管 眼震 病理性 

分 类 号：R764.3[医药卫生—耳鼻咽喉科]