目的探讨良性阵发性位置性眩晕(BPPV)临床诊治情况及误诊原因。方法对32例患者临床表现、误诊疾病及原因进行回顾性分析。结果 BPPV易误诊为颈椎病和椎基底动脉供血不足等,误诊率为(32/56)57.1%。结论提高对BPPV的认识,详细询问病史,行变位性眼震试验,大部分BPPV诊断不难,耳石复位法治疗是有效的治疗手段。 Objective To investigate the clinical diagnosis and treatment of benign paroxysmal positional vertigo (BPPV) and the causes of misdiagnosis. Methods The clinical manifestations, misdiagnosis diseases and causes of 32 patients were retrospectively analyzed. Results BPPV was easily misdiagnosed as cervical spondylosis and vertebrobasilar insufficiency. The misdiagnosis rate was (32/56) 57.1%. CONCLUSIONS: To improve the understanding of BPPV, ask medical history and conduct degenerative nystagmus tests in detail. It is not difficult to diagnose BPPV in most cases. Orthopedic reduction therapy is an effective treatment.