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題 名 | 以耳石復位法治療良性陣發性位置性眩暈=The Canalit Repositioning Procedure for Benign Paroxysmal Positional Vertigo |
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作 者 | 林鴻清; 徐銘燦; 施水木; 張克昌; | 書刊名 | 中華民國耳鼻喉科醫學雜誌 |
卷 期 | 34:5 民88.09-10 |
頁 次 | 頁379-384 |
分類號 | 416.861 |
關鍵詞 | 良性陣發性位置性眩暈; 管耳石沉澱現象; 耳石復位法; Benign paroxysmal positional vertigo; Canalolithiasis; Canalit repositioning procedure; |
語 文 | 中文(Chinese) |
中文摘要 | 背景:本研究的目的是:1)以管耳石沉澱現象為理論基礎,使用耳石復位法來治 療良性陣發性位置性眩暈的病人,並評估其短期(治療後1個月)及長期(平均追蹤24.6個月 )的療效。2)討論可能的病因。 方法:1)自1996年10月至1997年9用的1年間,由門診確定為典型良性陣發性位置性眩暈之 診斷者有58例,接受耳石復位法的治療,而評估其短期及長期的療效。2)自1996年10月至 1998年9月的2年間,共有115名典型良性陣發性位置性眩暈的病人,將分析可能的病因。 結果:乃第1年間的58名病人中,54名接受門診或電話的長期追蹤。追蹤時間從18.0個月至 29.8個月,平均約為24.6個月。病人短期療效的評估,成功率可達98.1%(53/54)。病人長 期療效的評估,成功率可達79.6%(43/54)。2)2年間的115名病人中,其病因方面:頭部外 傷19名(165%),中耳手術後3名(2.6%),中耳癌放射治療後1名(0.9%)及心血管危險因子 22名(19,1%),不明原因者70名(609%)。 結論:耳石復位法是一種簡單、安全及病人容易接受的治療方法,短期及長期的療效均佳 ,而且眩暈復發的病人經耳石復位法治療後都可以得到改善,適合做為治療良性陣發性位 置性眩暈的第一線選擇。 |
英文摘要 | Background: On the basis of canalolithiasis theory, the canalith repositioning procedure (CRP) is used to treat benign paroxysmal positional vertigo (BPPV). The aims of our study were to evaluate the short-term (1 month after CRP treatment) and long-term (mean 24.6 months follow-up) outcomes of the CRP and to discuss the probable etiologies of this disease. Methods: 1) From October 1996 to September 1997, 145 patients with a typical history of positional vertigo received the Hallpike maneuver. Fifty- eight patients (40.0%) were found to have classic BPPV. They all received CRP treatment. The short-term and long-term outcomes of treatment were evaluated respectively. 2) From October 1996 to September 1998, 115 patients were found to have classic BPPV. Their supposed etiologies were analyzed. Results: 1) Among the first 58 patients with classic BPPV, 54 patients were followed up by telephone. The short-term (1 month) resolution rate was 98.1% (53/54). The long-term (24.6 months) resolution rate was 79.6% (43/54). Ten patients (18.9%) had recurrence of vertigo. 2) Of the 115 patients with classic BPPV, the supposed etiologies were idiopathic in 70 patients (60.9%) , head injury in 19 patients (16.5'Yo), chronic otitis media with choiesteatoma after surgery in 3 patients (2.6%), middle ear carcinoma after radiotherapy in 1 patient (0.9%), and cardiovascular risk factors in 22 patients (19.1%). Conclusions: The CRP is simple, safe and effective. The short-term and long- term outcomes of the CRP are good. It should be the initial choice of treatment of BPPV. |
本系統中英文摘要資訊取自各篇刊載內容。