垂直悬头位试验诊断良性阵发性位置性眩晕的意义

The Significance of the Straight Head-Hanging Test in the Diagnosis of Benign Paroxysmal Positional Vertigo

郭鹏飞;李进让;

1:海军总医院全军耳鼻咽喉头颈外科中心

摘要
目的探讨垂直悬头位试验对良性阵发性位置性眩晕(BPPV)诊断的意义。方法回顾性分析324例BPPV患者的临床资料,所有患者均先行Dix-Hallpike试验和滚转试验,然后行垂直悬头位试验,并研究垂直悬头位试验诱发眩晕的患者的临床特征。结果 324例BPPV患者中,经Dix-Hallpike试验和滚转试验确诊为多半规管受累的BPPV 53例(16.36%,53/324)中合并垂直悬头位试验诱发眩晕的BPPV患者27例;单半规管BPPV271例(83.64%,271/324)中,通过Dix-Hallpike试验诱发眩晕及眼震或仅诱发眩晕的患者85例(26.23%,85/324),通过滚转试验诱发眩晕及眼震或仅诱发眩晕的患者120例(37.04%,120/324),而前两项试验阴性,通过垂直悬头位试验诱发眩晕及眼震或仅诱发眩晕的患者66例(20.37%,66/324),该66例患者沿矢状位快速翻转复位后随访1周和3个月,总有效率分别为86.36%(57/66)和83.33%(55/66)。结论垂直悬头位试验使本组BPPV患者的检出率提高了20.37%(66/324),其对上半规管BPPV的诊断有一定意义;对于Dix-Hallpike和滚转试验阴性但疑为BPPV的患者,应行垂直悬头位试验。
关键词
良性阵发性位置性眩晕;垂直悬头位试验;Dix-Hallpike试验;滚转试验
基金项目(Foundation):
作者
郭鹏飞;李进让;
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