摘要
上半规管裂综合征(Superior Semicircular Canal Dehiscence Syndrome,SSCDS)是上半规管骨质变薄或缺如引起的一种综合征。1998年Minor首先提出,之后对于SSCDS的诊断及治疗有不断提高。由于该病的前庭及听力症状、体征有较多变异,有部分症状与其他的耳科疾病有重叠,单独靠临床表现很难诊断。高分辨颞骨CT常规用于诊断SSCDS,VEMP对诊断SSCDS是有用的筛选工具。经颅中窝入路是最常用的手术入路。近年来,经乳突、经耳道、耳内镜更微创的方式修复上半规管裂(Superior Semicircular Canal Dehiscence,SSCD)越来越多被采用。本文对SSCDS的病因、临床症状、诊断及治疗策略等进行综述,以期提高对该病的诊疗能力。
Superior semicircular canal dehiscence syndrome(SSCDS)is a syndrome caused by thinning or ab-sence of the bony superior semicircular canal.First described by Minor in 1998,its diagnosis and treatment have since then continuously improved.Because of its variable vestibular and auditory symptoms and signs,some of which can overlap with other ear diseases,diagnose by clinical manifestations alone can be difficult.High resolution temporal bone CT and VEMP are useful screening tools in the diagnosis of SSCDS.Transcranial mid-fossa approach is most com-monly used in surgical treatment.In recent years,minimally invasive approaches via the mastoid or auditory canal and otoendoscopy have been increasingly adopted in repair of the superior semicircular canal dehiscence.This article pro-vides a review on the etiology,clinical symptoms,diagnosis and treatment strategies of SSCDS,in order to improve its management.
作者
胡民强
汪芹
刘伟
伍伟景
HU Minqiang;WANG Qin;LIU Wei;WU Weijing(Second Xiangya Hospital of Central South University,Zhuzhou Hunan 412000)
出处
《中华耳科学杂志》
CSCD
北大核心
2021年第5期818-822,共5页
Chinese Journal of Otology
基金
国家自然科学基金项目(81600811)
湖南省科技创新计划项目(2018SK52513)。
关键词
上半规管裂综合征
上半规管
眩晕
Superior Semicircular Canal Dehiscence Syndrome
Superior Semicircular Canal
Vertigo
