突发性聋伴良性阵发性位置性眩晕的研究现状
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摘要
突发性聋是耳鼻咽喉科常见疾病之一,其临床表现为听力下降、耳鸣、眩晕、平衡障碍等,研究发现,30%的突发性聋患者并发眩晕,其中一部分眩晕为BPPV,目前对突发性聋伴发BPPV的报道和研究日益增多,其诊断及治疗愈加明确,然而针对其病因、发病机制、临床特点及预后等方面的研究尚存在争议。本研究通过总结前人研究成果,将突发性聋并发BPPV的研究现状作如下综述。
Sudden deafness is one of the common diseases, clinically manifested with hearing loss, tinnitus and often balance disturbances in otolaryngology practice. It is reported that 30 percent of patients with sudden deafness may develop vertigo, some of which is BPPV. Currently there is increased research on sudden deafness with BBPV, although its etiology, pathogenesis, clinical features and prognosis remain controversial. Current research on sudden deafness complicated with BPPV is summarized in this review.
Sudden deafness is one of the common diseases, clinically manifested with hearing loss, tinnitus and often balance disturbances in otolaryngology practice. It is reported that 30 percent of patients with sudden deafness may develop vertigo, some of which is BPPV. Currently there is increased research on sudden deafness with BBPV, although its etiology, pathogenesis, clinical features and prognosis remain controversial. Current research on sudden deafness complicated with BPPV is summarized in this review.
引文
1 Katsarkas A,Kirkham T H.Paroxysmal positional vertigo--a study of 255 cases[J].Journal of Otolaryngology,1978,7(4):320-30.
2 Hyun-Min Park C K R.Vestibular Diagnosis as Prognostic Indicator in Sudden Hearing Loss with Vertigo[J].Acta Oto-Laryngologica,2001,121(533):80-83.
3 Lee J B,Choi S J.Canal Paresis in Benign Paroxysmal Positional Vertigo Secondary to Sudden Sensorineural Hearing Loss[J].Otology&neurotology:official publication of the American Otological Society,American Neurotology Society[and]European Academy of Otology and Neurotology,2015,36(10):1708.
4吴子明,张素珍,刘兴健,等.内耳病变并发良性阵发性位置性眩晕[J].中华耳鼻咽喉头颈外科杂志,2007,42(11):821-825.Wu ZM,Zhang SZ,Liu XJ,et al.Benign paroxysmal positioning vertigo related to inner ear disorders[J]Chinese Journal of Otorhinolaryngology Head and Neck Surgery,2007,42(11):821-825.
5陈志凌,陈艳春,徐世影,等.继发于突发性聋的良性阵发性位置性眩晕的临床特点[J].临床耳鼻咽喉头颈外科杂志,2013(1):31-33.Chen ZL,Chen YC,Xu SY,et al.Clinical characteristics of benign paroxysmal positional vertigo secondary to sudden deafness[J].Journal of Clinical Otorhinolaryngology Head and Neck Surgery,2013(1):31-33.
6钟俊伟,区永康,黄秋红,等.突发性聋伴良性阵发性位置性眩晕患者的特点[J].临床耳鼻咽喉头颈外科杂志,2016(14):1118-1120.Zhong JW,Qu YK,Huang QH,et al.The characteristics of the patients with BPPV accompanied by idopathic sudden Sensorineural hearing loss[J].Journal of Clinical Otorhinolaryngology Head and Neck Surgery,2016(14):1118-1120.
7 Hong S M,Yeo S G.Clinical analysis of patients with idiopathic sudden sensorineural hearing loss and benign paroxysmal positional vertigo.[J].Acta oto-laryngologica,2013,133(5):439-42.
8时美娟,孟晴,吕哲,等.良性阵发性位置性眩晕发病率及发病机制新进展[J].中华耳科学杂志,2016,14(4):521-525.Shi MJ,Meng q,Lv Z,et al.Advances research on morbidity and mechanism of benign paroxysmal positional vertigo[J].Chinese Journal of Otology,2016,14(4):521-525.
9 Hong S M,Byun J Y,Chan H P,et al.Saccular damage in patients with idiopathic sudden sensorineural hearing loss without vertigo[J].Otolaryngology-Head and Neck Surgery,2008,139(4):541-545.
10彭璐,陈睿春,袁弘,等.耳石功能检查对突发性聋预后评估的作用[J].临床耳鼻咽喉头颈外科杂志,2016(4):272-276.Peng L,Chen RC,Yuan H,et al.The value of otolith function test in the prognosis of sudden sensorineural hearing loss[J].Journal of Clinical Otorhinolaryngology Head and Neck Surgery,2016(4):272-276.
11吴子明,张素珍,周娜,等.伴眩晕的突发性聋患者椭圆囊-球囊功能分析[J].听力学及言语疾病杂志,2005,13(6):397-399.Wu ZM,Zhang SZ,Zhou N,et al.Analysis of Saccule and Utricle Function in Sudden Deafness with Vertigo[J].Journal of Audiology and Speech Pathology,2005,13(6):397-399.
12 Rambold H,Heide W,Helmchen C.Horizontal canal benign paroxysmal positioning vertigo with ipsilateral hearing loss[J].European Journal of Neurology the Official Journal of the European Federation of Neurological Societies,2004,11(1):31
13 Elsaied S,Joshua B Z,Segal N,et al.Sudden hearing loss with simultaneous posterior semicircular canal BPPV:possible etiology and clinical implications.[J].American Journal of Otolaryngology,2013,35(2):180-185.
14 Kim C H,Shin J E,Yang Y S,et al.Sudden sensorineural hearing loss with positional vertigo:Initial findings of positional nystagmus and hearing outcomes.[J].International Audiology,2016,55(10):541-546.
15 Lee N H,Ban J H.Is BPPV a Prognostic Factor in Idiopathic Sudden Sensory Hearing Loss?[J].2010,3(4):199-202.
16 Min-Beom Kim M D,Jae Ho Ban MD PhD.Benign paroxysmal positional vertigo accompanied by sudden sensorineural hearing loss:A comparative study with idiopathic benign paroxysmal positional vertigo[J].Laryngoscope,2012,122(12):2832-2836.
17 Kim Y H,Kim K S,Choi H,et al.Benign paroxysmal positional vertigo is not a prognostic factor in sudden sensorineural hearing loss.[J].Otolaryngology--head and neck surgery:official journal of American Academy of Otolaryngology-Head and Neck Surgery,2011,146(2):279-82
18殷国华,钟笑,张裕华.前庭功能与突发性聋预后的相关性分析[J].听力学及言语疾病杂志,2007,15(2):122-125.Yin GH,Zhong X,Zhang YH.The Correlation between Normal or Abnormal Vestibule Function and Prognosis of the Sudden Deafness[J].Journal of Audiology and Speech Pathology,2007,15(2):122-125.
19 Song J J,Yoo Y T,An Y H,et al.Comorbid benign paroxysmal positional vertigo in idiopathic sudden sensorineural hearing loss:,an ominous sign for hearing recovery.[J].Otology&neurotology:official publication of the American Otological Society,American Neurotology Society[and]European Academy of Otology and Neurotology,2012,33(2):137-41.
20中国突发性聋多中心临床研究协作组.中国突发性聋分型治疗的多中心临床研究[J].中华耳鼻咽喉头颈外科杂志,2013,48(5):355-361.Chinese sudden hearing loss multi-center clinical.Prospective clinical multi-center study on the treatment of sudden deafness with different typings in china[J].Chinese Journal of Otorhinolaryngology Head and Neck Surgery,2013,48(5):355-361.
21余力生.突发性聋治疗概述[J].中国耳鼻咽喉头颈外科,2010,17(10):505-506.Yu LS.The treatment of sudden deafness[J].Chinese Archives of Otolaryngology-Head and Neck Surgery,2010,17(10):505-506.
22中华耳鼻咽喉头颈外科杂志编辑委员会.突发性聋诊断和治疗指南(2015)[J].中华耳鼻咽喉头颈外科杂志,2015,50(6):443-447.Editorial Board of Chinese Journal of Otorhinolaryngology Head and Neck Surgery.The diagnosis and treatment of sudden deafness(2015)[J].Chinese Journal of Otorhinolaryngology Head and Neck Surgery,2015,50(6):443-447.
23中华耳鼻咽喉头颈外科杂志编辑委员会.良性阵发性位置性眩晕诊断和治疗指南(2017)[J].中华耳鼻咽喉头颈外科杂志,2017,52(3):173-177.Editorial Board of Chinese Journal of Otorhinolaryngology Head and Neck Surgery.The diagnosis and treatment of BPPV(2017)[J].Chinese Journal of Otorhinolaryngology Head and Neck Surgery,2015,50(6):443-447.
24 Balatsouras D G.Benign paroxysmal positional vertigo with multiple canal involvement.[J].American Journal of Otolaryngology--Head and Neck Medicine and Surgery,2012,33(2):250-258.
25 Leveque M,Labrousse M,Seidermann L,et al.Surgical therapy in intractable benign paroxysmal positional vertigo[J].Otolaryngology-Head and Neck Surgery,2007,136(5):693-698.
26 Steenerson R L,Cronin G W,Marbach P M.Effectiveness of Treatment Techniques in 923 Cases of Benign Paroxysmal Positional Vertigo[J].Laryngoscope,2010,115(2):226-231.
27周晓娓,虞幼军,赵远新,等.突发性聋伴良性阵发性位置性眩晕患者的预后研究[J].临床耳鼻咽喉头颈外科杂志,2014(16):1219-1221.Zhou XW,Yu YJ,Zhao YX,et al.The preliminary reseach of progress on sudden deafness patients with BPPV[J].Journal of Clinical Otorhinolaryngology Head and Neck Surgery,2014(16):1219-1221.
28 Narozny W,Kuczkowski J,Kot J,et al.Prognostic factors in sudden sensorineural hearing loss:our experience and a review of the literature.[J].Annals of Otology Rhinology&Laryngology,2006,115(7):553.
29 Weng S,Chen Y,Hsu C,et al.The clinical features of sudden sensorineural hearing loss in diabetic patients.[J].Laryngoscope,2005,115(9):1676-1680.
30张海雄,张青,徐大道,等.突发性聋伴良性阵发性位置性眩晕患者的预后观察[J].临床耳鼻咽喉头颈外科杂志,2014(16):1212-1214.Zhang HX,Zhang Q,Xu DD,et al.Treatment outcome of patients with idopathic sudden Sensorineu-ral hearing loss and concomitant benign paroxysmal positional vertigo[J].Journal of Clinical Otorhinolaryngology Head and Neck Surgery,2014(16):1212-1214.
31李菊兰,蔡华成,徐海,等.突聋伴发良性阵发性位置性眩晕诊治分析[J].听力学及言语疾病杂志,2011,19(5):428-430.Li JL,Cai HC,X H,et al.The Benign Paroxysmal Positional Vertigo and Sudden Deafness:The Clinical Charactevistics and Assessment[J].Journal of Audiology and Speech Pathology,2011,19(5):428-430.
32刘秋玲,王跃建,周晓娓,等.1240例良性阵发性位置性眩晕患者手法复位治疗[J].中华耳科学杂志,2010,08(4):427-430.Liu QL,Wang YJ,Zhou XW,et al.Canalith repositioning procedures in treatment of 1240 patients with benign paroxysmal positional vertigo[J].Chinese Journal of Otology,2010,08(4):427-430.
33 Lee N H,Ban J H,Lee K C,et al.Benign paroxysmal positional vertigo secondary to inner ear disease[J].Otolaryngol Head Neck Surg,2010,143(3):413-417.
2 Hyun-Min Park C K R.Vestibular Diagnosis as Prognostic Indicator in Sudden Hearing Loss with Vertigo[J].Acta Oto-Laryngologica,2001,121(533):80-83.
3 Lee J B,Choi S J.Canal Paresis in Benign Paroxysmal Positional Vertigo Secondary to Sudden Sensorineural Hearing Loss[J].Otology&neurotology:official publication of the American Otological Society,American Neurotology Society[and]European Academy of Otology and Neurotology,2015,36(10):1708.
4吴子明,张素珍,刘兴健,等.内耳病变并发良性阵发性位置性眩晕[J].中华耳鼻咽喉头颈外科杂志,2007,42(11):821-825.Wu ZM,Zhang SZ,Liu XJ,et al.Benign paroxysmal positioning vertigo related to inner ear disorders[J]Chinese Journal of Otorhinolaryngology Head and Neck Surgery,2007,42(11):821-825.
5陈志凌,陈艳春,徐世影,等.继发于突发性聋的良性阵发性位置性眩晕的临床特点[J].临床耳鼻咽喉头颈外科杂志,2013(1):31-33.Chen ZL,Chen YC,Xu SY,et al.Clinical characteristics of benign paroxysmal positional vertigo secondary to sudden deafness[J].Journal of Clinical Otorhinolaryngology Head and Neck Surgery,2013(1):31-33.
6钟俊伟,区永康,黄秋红,等.突发性聋伴良性阵发性位置性眩晕患者的特点[J].临床耳鼻咽喉头颈外科杂志,2016(14):1118-1120.Zhong JW,Qu YK,Huang QH,et al.The characteristics of the patients with BPPV accompanied by idopathic sudden Sensorineural hearing loss[J].Journal of Clinical Otorhinolaryngology Head and Neck Surgery,2016(14):1118-1120.
7 Hong S M,Yeo S G.Clinical analysis of patients with idiopathic sudden sensorineural hearing loss and benign paroxysmal positional vertigo.[J].Acta oto-laryngologica,2013,133(5):439-42.
8时美娟,孟晴,吕哲,等.良性阵发性位置性眩晕发病率及发病机制新进展[J].中华耳科学杂志,2016,14(4):521-525.Shi MJ,Meng q,Lv Z,et al.Advances research on morbidity and mechanism of benign paroxysmal positional vertigo[J].Chinese Journal of Otology,2016,14(4):521-525.
9 Hong S M,Byun J Y,Chan H P,et al.Saccular damage in patients with idiopathic sudden sensorineural hearing loss without vertigo[J].Otolaryngology-Head and Neck Surgery,2008,139(4):541-545.
10彭璐,陈睿春,袁弘,等.耳石功能检查对突发性聋预后评估的作用[J].临床耳鼻咽喉头颈外科杂志,2016(4):272-276.Peng L,Chen RC,Yuan H,et al.The value of otolith function test in the prognosis of sudden sensorineural hearing loss[J].Journal of Clinical Otorhinolaryngology Head and Neck Surgery,2016(4):272-276.
11吴子明,张素珍,周娜,等.伴眩晕的突发性聋患者椭圆囊-球囊功能分析[J].听力学及言语疾病杂志,2005,13(6):397-399.Wu ZM,Zhang SZ,Zhou N,et al.Analysis of Saccule and Utricle Function in Sudden Deafness with Vertigo[J].Journal of Audiology and Speech Pathology,2005,13(6):397-399.
12 Rambold H,Heide W,Helmchen C.Horizontal canal benign paroxysmal positioning vertigo with ipsilateral hearing loss[J].European Journal of Neurology the Official Journal of the European Federation of Neurological Societies,2004,11(1):31
13 Elsaied S,Joshua B Z,Segal N,et al.Sudden hearing loss with simultaneous posterior semicircular canal BPPV:possible etiology and clinical implications.[J].American Journal of Otolaryngology,2013,35(2):180-185.
14 Kim C H,Shin J E,Yang Y S,et al.Sudden sensorineural hearing loss with positional vertigo:Initial findings of positional nystagmus and hearing outcomes.[J].International Audiology,2016,55(10):541-546.
15 Lee N H,Ban J H.Is BPPV a Prognostic Factor in Idiopathic Sudden Sensory Hearing Loss?[J].2010,3(4):199-202.
16 Min-Beom Kim M D,Jae Ho Ban MD PhD.Benign paroxysmal positional vertigo accompanied by sudden sensorineural hearing loss:A comparative study with idiopathic benign paroxysmal positional vertigo[J].Laryngoscope,2012,122(12):2832-2836.
17 Kim Y H,Kim K S,Choi H,et al.Benign paroxysmal positional vertigo is not a prognostic factor in sudden sensorineural hearing loss.[J].Otolaryngology--head and neck surgery:official journal of American Academy of Otolaryngology-Head and Neck Surgery,2011,146(2):279-82
18殷国华,钟笑,张裕华.前庭功能与突发性聋预后的相关性分析[J].听力学及言语疾病杂志,2007,15(2):122-125.Yin GH,Zhong X,Zhang YH.The Correlation between Normal or Abnormal Vestibule Function and Prognosis of the Sudden Deafness[J].Journal of Audiology and Speech Pathology,2007,15(2):122-125.
19 Song J J,Yoo Y T,An Y H,et al.Comorbid benign paroxysmal positional vertigo in idiopathic sudden sensorineural hearing loss:,an ominous sign for hearing recovery.[J].Otology&neurotology:official publication of the American Otological Society,American Neurotology Society[and]European Academy of Otology and Neurotology,2012,33(2):137-41.
20中国突发性聋多中心临床研究协作组.中国突发性聋分型治疗的多中心临床研究[J].中华耳鼻咽喉头颈外科杂志,2013,48(5):355-361.Chinese sudden hearing loss multi-center clinical.Prospective clinical multi-center study on the treatment of sudden deafness with different typings in china[J].Chinese Journal of Otorhinolaryngology Head and Neck Surgery,2013,48(5):355-361.
21余力生.突发性聋治疗概述[J].中国耳鼻咽喉头颈外科,2010,17(10):505-506.Yu LS.The treatment of sudden deafness[J].Chinese Archives of Otolaryngology-Head and Neck Surgery,2010,17(10):505-506.
22中华耳鼻咽喉头颈外科杂志编辑委员会.突发性聋诊断和治疗指南(2015)[J].中华耳鼻咽喉头颈外科杂志,2015,50(6):443-447.Editorial Board of Chinese Journal of Otorhinolaryngology Head and Neck Surgery.The diagnosis and treatment of sudden deafness(2015)[J].Chinese Journal of Otorhinolaryngology Head and Neck Surgery,2015,50(6):443-447.
23中华耳鼻咽喉头颈外科杂志编辑委员会.良性阵发性位置性眩晕诊断和治疗指南(2017)[J].中华耳鼻咽喉头颈外科杂志,2017,52(3):173-177.Editorial Board of Chinese Journal of Otorhinolaryngology Head and Neck Surgery.The diagnosis and treatment of BPPV(2017)[J].Chinese Journal of Otorhinolaryngology Head and Neck Surgery,2015,50(6):443-447.
24 Balatsouras D G.Benign paroxysmal positional vertigo with multiple canal involvement.[J].American Journal of Otolaryngology--Head and Neck Medicine and Surgery,2012,33(2):250-258.
25 Leveque M,Labrousse M,Seidermann L,et al.Surgical therapy in intractable benign paroxysmal positional vertigo[J].Otolaryngology-Head and Neck Surgery,2007,136(5):693-698.
26 Steenerson R L,Cronin G W,Marbach P M.Effectiveness of Treatment Techniques in 923 Cases of Benign Paroxysmal Positional Vertigo[J].Laryngoscope,2010,115(2):226-231.
27周晓娓,虞幼军,赵远新,等.突发性聋伴良性阵发性位置性眩晕患者的预后研究[J].临床耳鼻咽喉头颈外科杂志,2014(16):1219-1221.Zhou XW,Yu YJ,Zhao YX,et al.The preliminary reseach of progress on sudden deafness patients with BPPV[J].Journal of Clinical Otorhinolaryngology Head and Neck Surgery,2014(16):1219-1221.
28 Narozny W,Kuczkowski J,Kot J,et al.Prognostic factors in sudden sensorineural hearing loss:our experience and a review of the literature.[J].Annals of Otology Rhinology&Laryngology,2006,115(7):553.
29 Weng S,Chen Y,Hsu C,et al.The clinical features of sudden sensorineural hearing loss in diabetic patients.[J].Laryngoscope,2005,115(9):1676-1680.
30张海雄,张青,徐大道,等.突发性聋伴良性阵发性位置性眩晕患者的预后观察[J].临床耳鼻咽喉头颈外科杂志,2014(16):1212-1214.Zhang HX,Zhang Q,Xu DD,et al.Treatment outcome of patients with idopathic sudden Sensorineu-ral hearing loss and concomitant benign paroxysmal positional vertigo[J].Journal of Clinical Otorhinolaryngology Head and Neck Surgery,2014(16):1212-1214.
31李菊兰,蔡华成,徐海,等.突聋伴发良性阵发性位置性眩晕诊治分析[J].听力学及言语疾病杂志,2011,19(5):428-430.Li JL,Cai HC,X H,et al.The Benign Paroxysmal Positional Vertigo and Sudden Deafness:The Clinical Charactevistics and Assessment[J].Journal of Audiology and Speech Pathology,2011,19(5):428-430.
32刘秋玲,王跃建,周晓娓,等.1240例良性阵发性位置性眩晕患者手法复位治疗[J].中华耳科学杂志,2010,08(4):427-430.Liu QL,Wang YJ,Zhou XW,et al.Canalith repositioning procedures in treatment of 1240 patients with benign paroxysmal positional vertigo[J].Chinese Journal of Otology,2010,08(4):427-430.
33 Lee N H,Ban J H,Lee K C,et al.Benign paroxysmal positional vertigo secondary to inner ear disease[J].Otolaryngol Head Neck Surg,2010,143(3):413-417.