创伤后良性阵发性位置性眩晕的临床特点及近期疗效研究

Clinical characteristics and short-term outcomes of traumatic benign paroxysmal positional vertigo

目的探究原发性(i-BPPV)与创伤性(t-BPPV)良性阵发性位置性眩晕的临床特点及近期疗效是否存在显著性差异。方法回顾性分析2014年7月至2016年9月在海军总医院全军耳鼻咽喉头颈外科中心确诊的307例i-BPPV及25例t-BPPV患者的临床资料,分析两组病例在性别、年龄、并发症(恶心、呕吐、耳鸣、听力减退)、患侧、受累半规管及近期疗效(3 d及1周)等方面是否存在显著性差异。结果 i-BPPV组与t-BPPV组患者在性别、年龄、并发症、患侧等方面不存在显著差异(P>0.05);t-BPPV具有相对较差的短期疗效(P<0.001);t-BPPV患者更易出现前半规管受累(P=0.024)。结论相比i-BPPV,t-BPPV的预后较差,前半规管BPPV的正确治疗对tBPPV预后更重要。

Objective To determine whether there is a statistically significant difference in clinical characteristics and outcomes between idiopathic and traumatic benign paroxysmal positional vertigo（ i-BPPV and t-BPPV,respectively）.Methods A retrospective study including 307 i-BPPV and 25 t-BPPV patients between July 2014 and September 2016 was conducted. Data regarding sex,age,and clinical symptoms including,nausea,vomiting,tinnitus,and hearing loss were collected. Laterality of the vertigo,affected part of the semicircular canal,and short-term outcomes were evaluated. Results No statistical difference was found between the two groups in terms of sex,age,complications,and the side involved（ P〉0.05）. Short-term outcomes of t-BPPV were poor（ P〈0.001）. The prevalence of anterior semicircular canal involvement was higher in t-BPPV（ P = 0.024）. Conclusion Short-term outcomes in t-BPPV were significantly worse than those associated with i-BPPV. Appropriate diagnosis and treatment of anterior semicircular canal BPPV is more important in t-BPPV patients.