梅尼埃病继发良性阵发性位置性眩晕临床特点分析

Clinical analysis of benign paroxysmal positional vertigo secondary to Meniere＇s disease

目的 探讨梅尼埃病继发良性阵发性位置性眩晕（BPPV）的临床特点.方法 分析112例梅尼埃病患者继发BPPV的情况,另选同期原发性BPPV患者85例作为对照.比较原发性和继发性BBPV患者复位治疗效果.结果 梅尼埃病继发BPPV的发生率为12.5％ （14/112）,其中后半规管BPPV 12例,水平半规管BPPV 2例.14例继发性BBPV患者经2-3次手法复位治疗后治愈9例,＞3次复位治疗治愈5例.原发性BPPV患者≤3次复位治疗的治愈率[97.6％ （83/85）]明显高于继发性BPPV患者[64.3％（9/14）]（χ^2=15.599,P ＜0.05）.结论 梅尼埃病继发BPPV以后半规管BPPV多见;耳石复位法治疗梅尼埃病继发BPPV疗效较好,但复位次数较原发性BPPV多.

Objective To investigate the clinical characteristics of benign paroxysmal positional vertigo （BPPV） secondary to Meniere＇s disease.Methods The BPPV incidence and therapy condition of 112 patients with Meniere＇s disease from January 2012 to June 2014 were analyzed;85 patients with primary BPPV during the same period were recruited as control.Results Fourteen patients had BPPV secondary to Meniere＇s disease,with an incidence of 12.5 % （14/112）,including 12 cases of posterior semicircular canal lithiasis and 2 cases of horizontal semicircular canal lithiasis.In patients with BPPV secondary to Meniere＇s disease,9 cases were cured after 2-3 times of repositioning maneuver;5 patients were cured after more than 3 times repositioning maneuver.The cure rate of patients with primary BPPV after ≤3 times of repositioning maneuver was significantly higher than that of patients with BPPV） secondary to Meniere＇s disease [97.6% （83/85） vs 64.3% （9/14）] （χ^2 =15.599,P 〈0.05）.Conclusions The most common type of BPPV secondary to Meniere＇s disease is posterior semicircular canal BPPV.The canalith repositioning maneuver is an effective treatment for BPPV secondary to Meniere＇s disease.