良性阵发性位置性眩晕患者发病特点及手法复位疗效分析

A Clinical Analysis of 968 Cases of Benign Paroxysmal Positional Vertigo

覃继新;

1:广西右江民族医学院附属医院耳鼻咽喉-头颈外科

摘要
目的探讨良性阵发性位置性眩晕(benign paroxysmal positional vertigo,BPPV)患者的发病特点及手法复位治疗的疗效。方法回顾性分析2008年1月2013年12月广西右江民族医学院附属医院耳鼻咽喉-头颈外科确诊并治疗的968例BPPV患者的临床资料,分析该病发病特点及手法复位疗效。结果 1968例BPPV患者中男577例(59.61%),女391例(40.39%),男女比例为1.48:1,发病平均年龄51.36±10.63岁(232013年12月广西右江民族医学院附属医院耳鼻咽喉-头颈外科确诊并治疗的968例BPPV患者的临床资料,分析该病发病特点及手法复位疗效。结果 1968例BPPV患者中男577例(59.61%),女391例(40.39%),男女比例为1.48:1,发病平均年龄51.36±10.63岁(2396岁);后半规管BBPV 921例(95.14%,921/968),其中管结石症877例(95.22%,877/921),嵴顶结石症44例(约4.78%,44/921);水平半规管BBPV 39例(4.03%,39/968),其中管结石症35例(89.74%,35/39),嵴顶结石症4例(10.26%,4/39);上半规管BBPV 5例(0.52%,5/968),混合型BBPV 3例(0.31%,3/968)。2921例后半规管BBPV行传统Epley法复位治疗,首次有效率为91.64%,远期(半年)有效率92.73%;水平半规管BBPV行Barbecue法复位治疗,首次有效率92.31%,远期(半年)有效率94.87%;上半规管BBPV行前翻法复位治疗,首次有效率60.00%,远期(半年)有效率80.00%;混合型半规管BBPV行联合复位治疗,首次有效率66.67%,远期(半年)有效率66.67%;3968例患者中半年内复发92例,复发率9.50%(92/968)。结论本组BPPV患者发病以男性患者和后半规管BPPV多见,手法复位能有效治疗BPPV,尤以后半规管BPPV及水平半规管BPPV疗效显著。
关键词
良性阵发性位置性眩晕;半规管;手法复位;疗效
基金项目(Foundation):
作者
覃继新;
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