本文選題：半規(guī)管　切入點：眼震　出處：《臨床耳鼻咽喉頭頸外科雜志》2015年01期

【摘要】：目的:探討水平半規(guī)管壺腹嵴帽結(jié)石癥(HSC-Cup)的診斷和治療。方法:回顧性分析36例HSCCup患者的臨床資料,應(yīng)用視頻眼震圖儀記錄滾轉(zhuǎn)試驗誘發(fā)的眼震,比較各個試驗頭位的眼震方向、潛伏期、強度及持續(xù)時間,應(yīng)用SPSS 17.0統(tǒng)計軟件進行數(shù)據(jù)處理。對所有患者采取避免健側(cè)臥位,高枕睡眠,白天避免甩頭動作,并口服敏使朗治療1周后的效果進行評估。結(jié)果:所有患者左、右轉(zhuǎn)頭均誘發(fā)出水平離地性眼震。眼震潛伏期:健側(cè)、患側(cè)分別為(0.93±0.65)s、(1.01±0.78)s,二者差異無統(tǒng)計學(xué)意義(P0.05);持續(xù)時間:健側(cè)、患側(cè)分別為(100.58±36.56)s、(118.65±43.71)s,持續(xù)時間均大于60s,二者差異無統(tǒng)計學(xué)意義(P0.05);強度:健側(cè)、患側(cè)分別為(45.58±28.71)°/s、(20.42±16.64)°/s,健側(cè)眼震強度明顯大于患側(cè),差異有統(tǒng)計學(xué)意義(P0.05)。其中右側(cè)HSC-Cup患者23例,左側(cè)HSC-Cup患者13例。所有患者采取上述治療方法1周后復(fù)診,28例(77.77%)痊愈,36例(100.00%)有效。隨訪期間4例復(fù)發(fā)。結(jié)論:根據(jù)眼震方向和持續(xù)時間可做出HSC-Cup的診斷,根據(jù)眼震強度可判斷受累側(cè)別。避免健側(cè)臥位及口服敏使朗對治療HSC-Cup簡單有效。
[Abstract]:Objective: to investigate the diagnosis and treatment of horizontal semicircular canal cristolithiasis (HSC-Cup).Methods: the clinical data of 36 patients with HSCCup were analyzed retrospectively. The nystagmus induced by rolling test was recorded by video nystagmography. The orientation, latency, intensity and duration of nystagmus were compared in each test.SPSS 17.0 statistical software was used to process the data.All patients were evaluated after 1 week of treatment by avoiding contralateral position, sleeping with high pillow and avoiding head flick during the day.Results: all patients with left and right turn of head induced horizontal off-ground nystagmus.鐪奸渿娼滀紡鏈，

本文編號：1705333