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目的:通过对BPPV患者行管石复位,探讨管石复位对BPPV的疗效。方法:对2009年1月至2011年1月项城市第一人民医院确认属于BPPV的129例患者,行Dix-Hallpike检查确定靶侧半规管,行管石复位,分析管石复位对BPPV患者的疗效。结果:129例BPPV患者,经Dix-Hallpike变位性试验,确认靶侧半规管,经管石复位法治疗后,按照BPPV完全治愈标准,治愈112例;17例眩晕稍微好转,经影像学和其他专科检查:11例患者患有颈部椎管狭窄,6例患者伴有后循环缺血;转入相关兄弟科室进一步治疗。结论:管石复位对BPPV患者有明显疗效,对那些没有明显禁忌症的BPPV患者,及时行管石手法复位不但操作简单,而且疗效明显。
OBJECTIVE: To evaluate the curative effect of tube and stone reduction on BPPV by performing the tube reduction on BPPV patients. Methods: From January 2009 to January 2011, 129 patients with BPPV were identified in the First People’s Hospital of Xiangcheng City. The Dix-Hallpike test was performed to determine the semicircular canals and the retrograde tubes. The curative effect was analyzed . Results: 129 cases of BPPV patients were confirmed by Dix-Hallpike transposition test after the target side of the semicircular canal, after the treatment of stone reduction, according to the BPPV complete cure standard, 112 cases were cured; 17 cases of dizziness slightly improved by imaging and other specialist Check: 11 patients with cervical spinal stenosis, 6 patients with posterior circulation ischemia; transferred to the relevant departments for further treatment of brothers. Conclusion: The stone reduction has a significant effect on patients with BPPV. For BPPV patients who have no obvious contraindications, prompt reduction of the stone by hand is not only easy to operate but also effective.