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梅尼埃病的球囊功能 被引量:9

The saccular function in Meniere′s disease
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摘要 目的 :通过记录、分析梅尼埃病患者的前庭诱发的肌源性电位 (VEMP) ,了解球囊的功能。方法 :15例确诊为梅尼埃病的患者行VEMP检查 ,分析梅尼埃病VEMP的不同表现形式 ,并将该结果与冷热试验结果比较。结果 :正常双侧短声刺激p13波和n2 3波出现率为 10 0 % ,梅尼埃病受试者VEMP 30 %不能正常引出 ,有 3种表现形式 :VEMP双侧无反应、患侧反应振幅正常和VEMP患侧反应低振幅。结论 :梅尼埃病患者膜迷路积液可影响球囊功能 。 Objective:To record and analyze the vestibular evoked myogenic potentials (VEMP) in Meniere′s disease. Method:VEMP in 15 patients diagnosed as Meniere′s disease were investigated and made out different kinds of manifestation of VEMP. The results of VEMP were compared with these caloric test.Result:The wave of p13 and n23 appeared 100% in normal subjects, but only appeared 30% in Meniere′s disease. There were 3 kinds of manifestation of VEMP- normal response, bilateral no response and lower amplitude in hydrops side.Conclusion: Membranous hydrops in Meniere′s disease may damage the saccular function and VEMP test may be helpful for diagnosis of Meniere′s disease.
出处 《临床耳鼻咽喉科杂志》 CSCD 北大核心 2004年第7期393-395,共3页 Journal of Clinical Otorhinolaryngology
关键词 前庭诱发的肌源性电位 球囊功能 梅尼埃病 Vestibular evoked myogenic potentials Saccular function Meniere′s disease
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参考文献5

  • 1Colebatch J G, Halmagyi G M, Skuse N F. Myogenic potentials generated by a click-evoked vestibulocollic reflex. J Neurol Neurosurg Psychiatry, 1994,57: 190-197.
  • 2Robertson D D, Ireland D J. Vestibular evoked myogenic potentials. Otolaryngol, 1995,24: 3- 8.
  • 3Kitamura K, Miyata M, Wanamaker H H, et al. Vestibular neurectomy: a histological and clinical study of results. J Laryngol Otol, 1996,110: 211 - 215.
  • 4Waele D C, Tran Ba Huy P, Diard J P, et al. Saccular function in Meniere's disease. Am J Otol, 1999,20: 223-232.
  • 5Ohki M, Matsuzaki M, Sugasawa K, et al. Vestibular evoked myogenic potentials in ipsilateral endolymphatic hydrops. Otorhinolaryngology, 2002,64:424 - 428.

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