Enkhtaivan, Delgerzaya
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Товч нэр
Enkhtaivan, Delgerzaya
Бүтэн нэр
Enkhtaivan Delgerzaya
Латин нэр
Enkhtaivan Delgerzaya
Албан тушаал
Судлаач
ORCID
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Item type:Publication, Treatment Results of Definite and Probable Meniere's Disease(Mongolian National University of Medical Sciences, 2021-04-01); ; ; ; Objectives: To evaluate the treatment results of definite and probable Meniere's disease (MD). Methods: A total of 51 patients, who were diagnosed with Meniere's disease (MD) between January 2019 to January 2021 at EMJJ ENT hospital's vestibular laboratory in Mongolia, was included in our study. The diagnosis of Meniere's disease was according to the 2015 Diagnostic criteria of Meniere's disease of the Classification Committee of the Barany Society. The clinical dizziness handicap inventory (DHI) questionnaire was taken, and videonystagmography (VNG), caloric test, and PTA was done in all patients. Results: Of a total of 51 patients, 9 were diagnosed as probable MD, and 42 were diagnosed as definite MD. The mean age of the patients was 43.7, male to female ratio was 1:1.8, 37 (72.5%) patients were in treatment group I who all received medication only, and 14 (27.5%) patients were in treatment group II who were refractory to prior medical therapy underwent ITDL Comparing the two treatment groups, there were significant differences in all test results (p = 0.000). After ITDI hearing improved (p = 0.000). Conclusions: VNG, caloric test, and DHI questionnaire results show that both medical treatment and ITDI are successful in improving vestibular function. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Тэнцвэрийн мэдрэлийн үрэвслийн оношлогооны үр дүн(2021-06-10); ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Захын тэнцвэр алдагдах зонхилон тохиолдох эмгэгүүдийн ялган оношлогооны үр дүн(2022-04-28); ; ; Жа-Вон КүүҮндэслэл: Захын тэнцвэр алдагдах эмгэгүүдээс байршлын хамааралт хоргүй толгой эргэлт (БХХТЭ), Меньерийн өвчин (МӨ), тэнцвэрийн мэдрэлийн үрэвсэл (ТМҮ) зэрэг нь зонхилон тохиолддог бөгөөд эдгээрийн тархалт 100.000 хүн амд 3.5-513 байдаг.1-4 Иймч учраас өнөө үед хүн амын дунд захын тэнцвэр алдагдах эмгэгтэй үйлчлүүлэгчдийн онцлогийг Монгол орны нөхцөлд судлах шаардлага зүй ёсоор тавигдаж байна. Зорилго: Меньерийн өвчин, байршлын хамааралт гэнэтийн хоргүй толгой эргэлт, тэнцвэрийн мэдрэлийн үрэвслийг эмнэлзүйн хэлбэрээр ялган оношлоход оршино. Арга, аргачлал: Бид судалгаандаа 2018-2021 онд тэнцвэрийн лабораторид ирсэн 273 үйлчлүүлэгчдийг хамруулсан. Аналитик загварын агшингийн аргаар Америкийн Чих хамар хоолойн академийн удирдамжийн дагуу оношлов. Асуумж, видеонистагмографи, илчит сорилын шинжилгээгээр оношлов. Үр дүн: Нийт 273 оролцогчдоос, БХХТЭ 162, Меньерийн өвчин 51, тэнцвэрийн мэдрэлийн үрэвсэл 60 оношлогдсон. БХХТЭ-ээс арын тал цагиргийн 62.4%, хажуугийн тал цагиргийн 27.1%, урд тал цагиргийн 10.5% үйлчлүүлэгч байна. Хүйсийн харьцаа эрэгтэй, эмэгтэй, 1:4, эдгээрээс байрлалын нистагм 100% илэрсэн. ТМҮ, МӨ-тэй үйлчлүүлэгчид тайван үеийн эмгэг нистагм 75%, 33%, толгойг сэгсрэх үеийн нистагм 91.7%, 82.4%, сувгийн саажилт дунджаар 49.3%, 37.3% илэрсэн. Болзошгүй МӨ 17.6%, тодорхой МӨ 82.4% тус тус байлаа. Дүгнэлт: 1. Захын тэнцвэр алдагдах эмгэгүүдийг ялган оношлоход видеонистагмографи, илчит сорилын шинжилгээ зайлшгүй шаардлагатай байна. 2. Захын тэнцвэр алдагдах эмгэгүүдээс БХХТЭ хамгийн олон тохиолдож байгаа бөгөөд эмэгтэйчүүдэд 4 дахин их байна. Эмнэлзүйн хэлбэрүүдээс баруун талын арын тал цагиргийнх илүү тохиолдож байна. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Unnecessary magnetic resonance imaging is associated with diagnostic delay and financial burden in benign paroxysmal positional vertigo: a retrospective study in Mongolia(2026); ; ; INTRODUCTION: This single-center, retrospective cohort study investigated the clinical characteristics, diagnostic pathways, and economic burden of benign paroxysmal positional vertigo (BPPV) at a national tertiary referral ENT hospital in Ulaanbaatar, Mongolia. METHODS: We analyzed 162 patients (mean age, 50.0 ± 11.7 years) with confirmed BPPV who completed follow-up between January 2019 and January 2021. Patients were treated with canalith repositioning procedures and instructed to perform self-maneuvers. The primary outcome was symptom resolution at 7, 14, and 28 days, and the secondary outcome was the change in Dizziness Handicap Inventory (DHI) scores. RESULTS: Results showed that 102 patients (62.5%) were referred from other hospitals, yet only 6 (3.7%) were correctly diagnosed prior to referral. Multivariate logistic regression identified no specific clinical symptoms predicting magnetic resonance imaging (MRI) usage, suggesting that neuroimaging was largely driven by patient-initiated demand in the private sector. The mean diagnostic delay was significantly longer in the MRI group (24.4 ± 19.5 days) compared to the non-MRI group (7.5 ± 5.9 days, p < 0.001). Cost analysis based on 2024 metrics revealed that a single potentially low-yield MRI consumes 72.0% of a minimum-wage worker's monthly income, creating a catastrophic financial burden. Treatment was highly effective, with resolution rates of 75.9, 93.8, and 99.4% at 7, 14, and 28 days, respectively. The mean DHI score improved significantly from 39.93 to 4.12 (p < 0.001). DISCUSSION: BPPV patients in Mongolia face significant diagnostic delays and high misdiagnosis rates. While standardized maneuvers are effective, the reliance on costly imaging highlights an urgent need for educational initiatives to improve awareness and primary care triage in developing countries.Scopus© Citations 1