双边同时呈现的后运河良性发性定位性
1Department of Otorhinolaryngology and Head and Neck Surgery, Anadolu Medical Center, Kocaeli, Turkey.
The Journal of laryngology and otology
|June 23, 2023
概括
双边后运河良性发性位置性 (BPPV) 影响15.7%的患者. 真正的双边BPPV需要更多的Epley机动,并且比伪双边BPPV的复发率更高.
科学领域:
- 神经学 神经学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 静脉管疾病 静脉管疾病
背景情况:
- 良性发性位置性 (BPPV) 是导致头的常见原因.
- 后道BPPV是最常见的亚型.
- 了解双边演讲对于有效管理至关重要.
研究的目的:
- 为了描述双边后运河BPPV的临床表现.
- 要区分真正的和伪双边的后门通道BPPV.
- 为了比较治疗结果和复发率.
主要方法:
- 分析了573名患有后运河BPPV的患者队列.
- 患者被分为单边,真双边或伪双边组.
- 爱普利机动是主要的治疗方法;统计学意义设置为p < 0.05.
主要成果:
- 15.7%的患者 (90/573) 呈现双侧后运河 BPPV.
- 其中72人患有伪双边BPPV.
- 虽然人口统计和相关问题发生率没有显著差异,但症状缓解的操作数量和复发率在统计上显著 (p <0.05).
结论:
- 鉴于不同的病因和治疗反应,区分真实与伪双边后运河BPPV在临床上很重要.
- 真正的双边BPPV需要多次治疗尝试,并且具有更高的复发风险.
- 患有真正双边BPPV的患者应接受关于潜在复发和需要持续治疗的咨询.
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