摇头变位试验在后半规管良性阵发性位置性眩晕诊断中的应用

白文忠;王秋敏;刘萱;马丽华;王磊;刘丽娟;

1:河北省唐山市工人医院耳鼻咽喉-头颈外科

2:河北省唐山市工人医院眩晕门诊

3:河北省唐山市工人医院神经内科

摘要
目的探讨摇头变位试验对后半规管良性阵发性位置性眩晕(PC-BPPV)的诊断价值。方法对以位置性眩晕为主诉的疑似后半规管良性阵发性位置性眩晕的189例患者,由2位有经验的专科医生重复进行Dix-Hallpike变位试验(DH)、翻转试验,对DH试验阴性者行摇头Dix-Hallpike变位试验(HSDH),并进行Epley复位或者Semont复位治疗。结果 189例患者中,共诊断为PC-BPPV140例(74.07%,140/189),其中,经DH诊断PC-BPPV128例,诊断率为67.72%(128/189);经HSDH诊断PC-BPPV12例,诊断率增加了6.35%(12/189)。140例患者经手法复位治疗全部治愈。结论摇头Dix-Hallpike变位试验能够提高后半规管良性阵发性位置性眩晕的阳性诊断率。
关键词
良性阵发性位置性眩晕;后半规管;Dix-Hallpike变位试验;摇头Dix-Hallpike变位试验
基金项目(Foundation):
作者
白文忠;王秋敏;刘萱;马丽华;王磊;刘丽娟;
参考文献

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