难治性梅尼埃病手术控制眩晕的远期疗效观察  

Longterm results of surgical treatment of intractableMeniere's disease for control of vertigo

作　　者：殷善开[1,2,3] 柯国欣[1,2,3] 顾能荣[1,2,3] 沈平江 张胜兰[1,2,3] 吴雅琴 臧危平[1,2,3] 

机构地区：[1]上海市第六人民医院耳鼻咽喉科 [2]上海市第六人民医院耳科研究室 [3]上海市听力测试中心

出　　处：《临床耳鼻咽喉科杂志》1999年第7期291-292,共2页Journal of Clinical Otorhinolaryngology

摘　　要：目的：观察难治性梅尼埃病手术控制眩晕的远期疗效。方法：施行内淋巴囊手术或经迷路进路前庭神经切断术治疗难治性梅尼埃病５４例，其中长期接受随访、资料完整者１２例。结果：随访８～１３年，６例前庭神经切断术患者未再发作眩晕；６例内淋巴囊手术者，３例眩晕症状完全控制，３例基本控制。结论：内淋巴囊手术及经迷路进路前庭神经切断术为控制难治性梅尼埃病患者眩晕的有效手段。Objective: To acquire the longterm (an average of over 10 years followup) results of surgical treatment of patients with Meniere's disease for control of vertigo. Method: Endolymphatic sac surgery was done in 6 cases (1 case of endolymphatic sac decompression and 5 cases of sacmastoid shunting) and translabyrinth vestibular neurotomy was operated on 6 cases. Result: Complete relief from symptoms of vertigo occurred in the 6 cases through vestibular neurotomy and there were no recurrence in 1113 years followup.Three of 6 cases with endolymphatic sac surgery had complete control of vertigo and were cured clinically.Symptoms of vertigo of the rest 3 cases were effectively controlled. Conclusion:5BZEndolymphatic sac surgery and translabyrinth vestibular neurotomy are effective way for control of vertigo of patients with intractable Meniere's disease.Translabyrinth vestibular neurotomy are more effective for control of vertigo for appropriately selected patients.

关 键 词：内耳眩晕症 内淋巴囊手术 前庭神经切断术 

分 类 号：R764.33[医药卫生—耳鼻咽喉科] R764.92[医药卫生—临床医学]