内淋巴囊减压术治疗Lermoyez综合征患者效果评估  

Efficacy of Endolymphatic Sac Surgery for Lermoyez syndrome

作　　者：韩琳[1] 静媛媛[1] 郑宏伟[1] 马鑫[1] 夏瑞明[1] 余力生[1] 

机构地区：[1]北京大学人民医院耳鼻喉科,北京100044

出　　处：《中华耳科学杂志》2014年第2期290-292,共3页Chinese Journal of Otology

摘　　要：目的研究内淋巴囊减压术治疗Lermoyez综合征的临床效果。方法病例材料来源于我科2007年至2013年收治的Lermoyez综合征病例共6例,均为经保守治疗后仍反复发作眩晕者,术前完善检查,行内淋巴囊减压术,术后进行随访,评估眩晕、听力、耳鸣、耳闷变化。结果术后66.7%(4/6)患者眩晕完全控制,33.3%(2/6)患者眩晕基本控制,57.1%(4/7)的患耳听力好转,33.3%(2/6)的患耳耳鸣减轻,80%(4/5)的患耳耳闷胀感减轻。结论内淋巴囊减压术能有效控制Lermoyez综合症患者的眩晕发作,是治疗该病的一种可行方法。Objective To investigate effecacy of endolymphatic sac decompression （ELSD） for treating Lermoyez syn-drome. Methods From 2007 to 2013, 6 patients with recurrent vertigo despite nonsurgical treatment underwent ELSD after a thorough evaluation and were followed. Follow up methods included clinic visits and telephone interview to assess vertigo, hear-ing, tinnitus and aural fullness after the surgery. Results Vertigo was completely controlled in 4 patients （66.7%） and improved in the other 2 patients （33.3%）. Hearing improved in 7 patients （57.1%）, and 2 patients （33.3%） reported tinnitus relief. Aural fullness improved in 4 patients （80%）. Conclusion ELSD can be effectively used to control the vertigo in Lermoyez syndrome patients. ELSD is a feasible approach for the treatment of this disease.

关 键 词：Lermoyez综合征 眩晕 内淋巴囊减压术 

分 类 号：R411.2[医药卫生—临床医学]