中耳手术后并发颈性眩晕的临床分析

Clinical analysis on the cervical vertigo after operation of middle ear

目的:总结中耳手术后并发颈性眩晕的诊治经验。方法:回顾分析4例中耳手术后并发颈性眩晕患者的临床资料。结果:4例患者均在全身麻醉清醒后出现与头位转动密切相关的眩晕,并伴颈枕及颈侧肿痛,颈部旋转诱发试验阳性,4例患者经口服地芬尼多片及静滴丹参、能量合剂等治疗,眩晕均在5～7d内治愈。结论:眩晕发作与头位转动密切相关并伴颈痛是诊断颈性眩晕的关键,术中头位过度偏曲是造成中耳术后颈性眩晕的原因,抗眩晕及扩管治疗是有效的治疗方法,本病预后好,与迷路损伤所致眩晕相鉴别有重要的临床意义。

Objective：To sum up the diagnosis and treatment experience of the cervical vertigo after operation of middle ear. Method：The clinical data on 4 patients with cervical vertigo after operation of middle ear were analyzed retrospectively. Result.-Four patients had vertigo closely related to rotation of the head and neck after general anesthesia sober,and had swelling and pain of the neckoccipital and lateral neck. Neck rotation induced test of four cases were positive. Four cases treated with oral difenidol tablets and intravenous Salvia and energy mixture, and the vertigo was cured during 5-7 days. Conclusion：The key of the diagnosis for the cervical vertigo is pain of the neck and vertigo closely related with rotation of the head and neck. The cause of the cervical vertigo after operation of middle ear is excessive deviation of the head position during operation. Anti-vertigo and vasodilators treatment for the cervical vertigo after operation of middle ear are effective and the prognosis is good. Identification with vertigo caused by the damage of the labyrinthine has important clinical significance.