Ménière's disease(MD) is a common cause of recurrent vertigo. Its pathophysiology is still unclear and controversial. The most common histological finding in postmortem temporal bone studies of patients ...Ménière's disease(MD) is a common cause of recurrent vertigo. Its pathophysiology is still unclear and controversial. The most common histological finding in postmortem temporal bone studies of patients is endolymphatic hydrops(EH). However, not all cases of hydrops are associated with MD and it may represent the end point of various etiologies. The diagnostic criteria for MD have undergone changes during the past few decades. A recent collaboration among specialty societies in United States, Europe and Japan has given rise to a new set of guidelines for the diagnosis and classification of MD. The aim is to develop international consensus criteria for MD that would help improve the quality of data collected from patients. The diagnosis of MD can be difficult in some cases as there is no gold standard for testing. Previous use of audiometric data and electrocochleography are poorly sensitive as screening tools. Recently magnetic resonance imaging as a diagnostic tool for identifying EH has gained popularity in Asia and Europe. Vestibular evoked myogenic potentials are also used but lack specificity. Finally, the treatment for MD has improved with the introduction of intratympanic treatments with steroids and gentamicin as well as less invasive treatment with the Meniett device.展开更多
眩晕是普通人群常见的症状,1年患病率为5%,成年人发病率为1.4%[1]。眩晕症状是临床医师每天都可能面对的普遍问题,准确的鉴别、合理的治疗是控制眩晕性疾病反复发作的核心环节。为规范临床医师工作习惯和工作流程并获得优良的诊疗结果,...眩晕是普通人群常见的症状,1年患病率为5%,成年人发病率为1.4%[1]。眩晕症状是临床医师每天都可能面对的普遍问题,准确的鉴别、合理的治疗是控制眩晕性疾病反复发作的核心环节。为规范临床医师工作习惯和工作流程并获得优良的诊疗结果,国内外耳鼻咽喉头颈外科学会和神经科学会制定了一系列临床指南,其中良性阵发性位置性眩晕(benign paroxysmal positional ve r t igo,BPPV)作为外周性眩晕疾病的典型代表是目前最受关注的焦点;展开更多
目的分析梅尼埃病患者的耳鸣特点和相关影响因素。方法 2012年8月~2016年8月诊治的69例梅尼埃病患者,收集每位患者的纯音听阈、耳鸣患侧、持续时间、睡眠质量,采用耳鸣残障量表(THI)、眩晕残障程度评定量表(DHI)(中文版)评分。结果 (1)...目的分析梅尼埃病患者的耳鸣特点和相关影响因素。方法 2012年8月~2016年8月诊治的69例梅尼埃病患者,收集每位患者的纯音听阈、耳鸣患侧、持续时间、睡眠质量,采用耳鸣残障量表(THI)、眩晕残障程度评定量表(DHI)(中文版)评分。结果 (1)耳鸣主调频率为低频者31例,中频15例,高频23例。耳鸣响度<10 d B(SL)、10~14 d B(SL)、≥15 d B(SL)分别为41例、18例、10例;持续性耳鸣患者60例,间歇性耳鸣9例;一侧耳鸣患者58例,双侧耳鸣患者11例;(2)伴有持续性耳鸣(t=3.099,P=0.008),睡眠质量较差(t=2.987,P=0.012),耳鸣响度较大(F=3.356,P=0.013)的患者其THI评分高于间断性耳鸣、睡眠质量较好、耳鸣响度较小的患者;(3)多元线性回归分析结果显示,耳鸣发作频率、病程、平均听阈与DHI评分呈正相关。结论梅尼埃病患者伴随的耳鸣特点主要为持续低频性耳鸣。耳鸣的严重程度与耳鸣的响度、持续时间、睡眠质量有关。梅尼埃病患者性别、年龄、耳侧、双温试验对DHI评分无影响,但发作频率、持续时间、平均听阈均为影响评分的主要因素,发作频率越高的患者,其眩晕感觉越重。展开更多
文摘Ménière's disease(MD) is a common cause of recurrent vertigo. Its pathophysiology is still unclear and controversial. The most common histological finding in postmortem temporal bone studies of patients is endolymphatic hydrops(EH). However, not all cases of hydrops are associated with MD and it may represent the end point of various etiologies. The diagnostic criteria for MD have undergone changes during the past few decades. A recent collaboration among specialty societies in United States, Europe and Japan has given rise to a new set of guidelines for the diagnosis and classification of MD. The aim is to develop international consensus criteria for MD that would help improve the quality of data collected from patients. The diagnosis of MD can be difficult in some cases as there is no gold standard for testing. Previous use of audiometric data and electrocochleography are poorly sensitive as screening tools. Recently magnetic resonance imaging as a diagnostic tool for identifying EH has gained popularity in Asia and Europe. Vestibular evoked myogenic potentials are also used but lack specificity. Finally, the treatment for MD has improved with the introduction of intratympanic treatments with steroids and gentamicin as well as less invasive treatment with the Meniett device.
文摘眩晕是普通人群常见的症状,1年患病率为5%,成年人发病率为1.4%[1]。眩晕症状是临床医师每天都可能面对的普遍问题,准确的鉴别、合理的治疗是控制眩晕性疾病反复发作的核心环节。为规范临床医师工作习惯和工作流程并获得优良的诊疗结果,国内外耳鼻咽喉头颈外科学会和神经科学会制定了一系列临床指南,其中良性阵发性位置性眩晕(benign paroxysmal positional ve r t igo,BPPV)作为外周性眩晕疾病的典型代表是目前最受关注的焦点;
文摘目的分析梅尼埃病患者的耳鸣特点和相关影响因素。方法 2012年8月~2016年8月诊治的69例梅尼埃病患者,收集每位患者的纯音听阈、耳鸣患侧、持续时间、睡眠质量,采用耳鸣残障量表(THI)、眩晕残障程度评定量表(DHI)(中文版)评分。结果 (1)耳鸣主调频率为低频者31例,中频15例,高频23例。耳鸣响度<10 d B(SL)、10~14 d B(SL)、≥15 d B(SL)分别为41例、18例、10例;持续性耳鸣患者60例,间歇性耳鸣9例;一侧耳鸣患者58例,双侧耳鸣患者11例;(2)伴有持续性耳鸣(t=3.099,P=0.008),睡眠质量较差(t=2.987,P=0.012),耳鸣响度较大(F=3.356,P=0.013)的患者其THI评分高于间断性耳鸣、睡眠质量较好、耳鸣响度较小的患者;(3)多元线性回归分析结果显示,耳鸣发作频率、病程、平均听阈与DHI评分呈正相关。结论梅尼埃病患者伴随的耳鸣特点主要为持续低频性耳鸣。耳鸣的严重程度与耳鸣的响度、持续时间、睡眠质量有关。梅尼埃病患者性别、年龄、耳侧、双温试验对DHI评分无影响,但发作频率、持续时间、平均听阈均为影响评分的主要因素,发作频率越高的患者,其眩晕感觉越重。
