良性阵发性位置性眩晕精准手法复位探讨

杨晓凯; 郑炎焱; 吴森翔

doi:10.13201/j.issn.1001-1781.2016.08.010

良性阵发性位置性眩晕精准手法复位探讨

- 温州市人民医院神经内科(浙江温州, 325000)
基金项目:
温州市科技局基金资助项目(No:Y20140515)

详细信息

通讯作者: 杨晓凯,E-mail:gushiedu@gmail.com

中图分类号: R764.3

收稿日期: 2015-11-17

Study of BPPV precise manipulation treatment

- Department of Neurology, Wenzhou People's Hospital, Wenzhou, 325000, China

More Information

Corresponding author: YANG Xiaokai, E-mail: gushiedu@gmail.com

Received Date: 17 November 2015

摘要

摘要: 目的：探讨良性阵发性位置性眩晕的精准手法复位。方法：用3D SLICER软件处理CT或者MRI内耳检查影像数据，分割半规管结构和眼球结构或者眶点和耳点，测量半规管空间方向，建立标准空间坐标系半规管模型并生成3D PDF文件。结果：用平分半规管切面代表半规管平面，以眼球作为参考物判断是否对称，对于后半规管夹角测量稳定性较好，直观可靠。3D PDF显示直观，可以根据个体差异性调整手法复位过程转动角度，能够在实际操作前观察和演示理论复位效果。结论：根据患者的内耳影像学资料，对半规管进行三维重建并测量半规管空间方向，从而进行个体化的精准手法复位，有一定临床意义。
- 眩晕 /
- 半规管 /
- 磁共振成像 /
- 计算机断层扫描 /
- 成像,三维
Abstract: Objective: To explore the effect of the BPPV precision manipulation treatment.Method: With 3D SLICER software we segment structure such as semicircular canal,eye ball,orbital and ear rod from MRI or CT volume data of patients which underwent MRI or CT scaning of inner ear, for measuring the spatial direction of semicircular canals and building semicircular canal modules with standard space coordinate system and embedding into 3D PDF files.Result: With the slice that divide the semicircular canal equally as the semicircular canal plane and the eyeball as reference object to determine whether it is symmetric, it is not olnly intuitive but also reliable for measuring the angle between the posterior semicircular canal. 3D PDF is intuitive, rotation angle can be adjusted according to the individual differences in the process of manipulation treatment, to observe and demonstrate the theoretical reduction effect before the actual operation.Conclusion: By reconstruction the three-dimensional semicircular canal structure from the inner ear image data of patients and measurement of the semicircular canal space direction, it is of a certain significance for BPPV precision manipulation treatment.
- vertigo /
- semicircular canals /
- magnetic resonance imaging /
- computer tomography /
- imaging,three-dimensional

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