目的 分析继发于突发性耳聋的良性阵发性位置性眩晕(benign paroxysmal positioning vertigo,BPPV)的临床特点及误漏诊原因,以提高确诊率.方法 对我院2011年3月—2017年6月收治的27例继发于突发性耳聋的BPPV误漏诊患者资料进行回顾性分析.结果 本组男8例,女19例;平均年龄53.4岁;病程3 d~1年.27例首诊外院,其中17例突发性耳聋同时伴眩晕,首诊漏诊BPPV;10例突发性耳聋发病半年内出现眩晕,9例误诊为梅尼埃病,1例误诊为后循环缺血.27例就诊我院后,综合分析病史,行前庭功能及位置试验确诊为突发性耳聋继发BPPV.确诊后采用手法复位治疗,3周后眩晕症状完全消失.结论 继发于突发性耳聋的BPPV临床表现复杂多变且缺乏特异性,易误漏诊;临床医师应加强对继发性BPPV的认识,前庭功能检查及位置试验有助于确诊.%Objective To analyze the clinical features and misdiagnosed causes of benign paroxysmal positioning ver-tigo ( BPPV) secondary to sudden deafness in order to improve the final diagnosis rate. Methods Clinical data of 27 cases of BPPV secondary to sudden deafness treated in our department from March 2011 to June 2017 was retrospectively analyzed. Re-sults A total of 27 patients diagnosed as BPPV secondary to sudden deafness were included in this study. There were 8 male and 19 female with the age from 32 to 75 years old (average age 53. 4 years). Seventeen cases of sudden deafness accompa-nied by vertigo had missed diagnosis. In the 10 cases complained of vertigo after a period of sudden deafness, there were 9 ca-ses misdiagnosed as Meniere disease and one case was misdiagnosed as posterior circulation ischemia. All 27 cases were diag-nosed as BPPV secondary to sudden deafness in our department through careful physical examination and positioning test and treated by manual repositioning maneuvers. The vertigo or dizziness in all 27 cases was disappeared within 3 weeks after trea-ted by manual repositioning maneuvers. Conclusion BPPV secondary to sudden deafness are very easy to be misdiagnosed and missed diagnosis for non-specific manifestations, but the manual repositioning maneuvers can get high curative rate. Clini-cians should strengthen their understanding of the disease and improve the diagnosis and treatment ability.
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