突聋伴眩晕患者的前庭功能分析

The Vestibular Function in Patients with Sudden Deafness with Vertigo

张龙龙;罗彬;侯晓燕;孙家强;孙敬武;

1:安徽医科大学附属省立医院耳鼻咽喉头颈外科

摘要

目的探讨突发性聋伴眩晕患者前庭功能特点。方法对38例突发性聋伴眩晕患者(伴眩晕组,9～80岁)、36例突发性聋不伴眩晕患者(不伴眩晕组,15～69岁)和年龄相匹配的20例健康志愿者(正常对照组,20～76岁)分别进行纯音听阈、视频头脉冲试验和前庭诱发肌源性电位测试,比较三组结果。结果伴眩晕组、不伴眩晕组、正常对照组患者的前庭功能异常率分别为:92.11%(35/38)、44.44%(16/36)、35%(7/20),伴眩晕组异常率显著高于不伴眩晕组和正常对照组(均为P<0.001)。伴眩晕组患者的水平半规管、上半规管、后半规管、球囊、椭圆囊功能的异常率分别为34.21%(13/38)、23.68%(9/38)、55.26%(21/38)、65.79%(25/38)、60.53%(23/38);不伴眩晕组分别为19.44%(7/36)、13.89%(5/36)、25.00%(9/36)、27.78%(10/36)、22.22%(8/36),其中伴眩晕组的后半规管、球囊、椭圆囊功能的异常率明显高于不伴眩晕组(P=0.008、P=0.001、P=0.001);伴眩晕组三个半规管中后半规管功能异常率最高(55.26%),球囊和椭圆囊功能的异常率差异无统计学意义(P=0.634)。结论突聋伴眩晕患者较突聋不伴眩晕患者前庭功能损伤更严重,且以后半规管功能障碍多见。

关键词

突发性聋;前庭功能;前庭诱发肌源性电位;视频头脉冲试验

基金项目(Foundation):

作者

张龙龙;罗彬;侯晓燕;孙家强;孙敬武;

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