并发梅尼埃病的管结石症良性阵发性位置性眩晕临床特点分析

Clinical analysis of benign paroxysmal positional vertigo associated with Meniere's disease

目的:探讨多管及单管良性阵发性位置性眩晕(BPPV)伴梅尼埃病患者的治疗和预后。方法:梅尼埃病并发多管BPPV(试验组A)6例,梅尼埃病并发单管BPPV(试验组B)11例,不伴梅尼埃病的特发性BPPV(对照组)43例,均经变位试验诊断,并采用管石复位法治疗,比较三组患者的临床特点及转归。结果:试验组(A、B)与对照组比较,以下方面差异有统计学意义(P<0.05):1半规管受累单侧比双侧多;2后半规管受累较多;3多管BPPV伴梅尼埃病的患者需多次复位且复发率高。结论:梅尼埃病并发BPPV与特发性BPPV患者的临床特点有显著不同,其1次复位成功率较低且复发率高,多管BPPV伴梅尼埃病的复发率最高。

Objective：To explore treatment and therapeutic effectiveness of patients with Meniere＇s disease and benign paroxysmal positional vertigo.Method：A series of BPPV 60 cases was retrospective analyzed.The patients were divided into three groups：Meniere＇s disease with multiple semicircular canal BPPV（n=6）,with single semicircular canal BPPV（n=11）and BPPV without Meniere＇s disease group（Control,n=43）.All patients were diagnosed by the Dix-Hallpike test or roll test and treated with the canalith repositioning procedure.The outcomes were compared among the three groups.Result：Unilateral semicircular canal BPPV was more than bilateral BPPV,the posterior semicircular canal was the most common canal involved,and multiple semicircular canal BPPV with Meniere＇s disease patients needed repeated canalith repositioning procedure and had a higher recurrence rate.Conclusion：A lower success rate of treatment and a higher recurrence rate was found in BPPV patients with Meniere＇s disease compared with those without Meniere＇s disease.The recurrence rate is highest in multiple semicircular canal BPPV with Meniere＇s disease.