双侧重度梅尼埃病行人工耳蜗植入术疗效观察  

Efficacy of cochlear implantation for bilateral severe Ménière′s disease

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

机构地区：[1]北京大学人民医院耳鼻咽喉科,北京100044 [2]河北省秦皇岛市第一人民医院耳鼻咽喉科

出　　处：《临床耳鼻咽喉头颈外科杂志》2015年第4期295-297,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：国家自然科学基金(No:81170905)

摘　　要：目的:回顾性分析梅尼埃病的特殊类型Lermoyez综合征致左耳极重度、右耳重度感音神经性聋患者行人工耳蜗植入术的效果。方法:患者术前完善听力学、前庭功能及影像学检查,先后行右侧内淋巴囊减压术、左侧内淋巴囊减压术及左侧人工耳蜗植入术,术后进行随访,评估眩晕、听力、耳鸣、耳闷变化。结果:双侧重度梅尼埃病患者行双侧内淋巴囊减压术后眩晕控制良好,但因听力下降无法控制而行人工耳蜗植入术改善听力及言语识别率,术后耳鸣得到控制,同时对侧听力也有明显改善。结论:内淋巴囊减压术能有效控制梅尼埃病患者的眩晕发作,人工耳蜗植入术可以改善患者的听力及言语识别率,控制耳鸣,改善患者生活质量。人工耳蜗植入术是4期梅尼埃病的首选治疗方法。Objective：To investigate the effecacy of cochlear implantation（CI）improving hearing of Lermoyez′s syndrome,we retrospectively analyzed a case of Lermoyez′s syndrome whose left ear was extremely severe sensorineural deafness and right ear was severe sensorineural deafness.Method：The patient had completed preoperative audiological examination,vestibular function and imaging examination,then was carried out bilateral endolymphatic sac decompression and left side CI.Follow up after the surgery.Result：The vertigo could be controlled very well after the bilateral endolymphatic sac decompression surgery,but the hearing loss couldn′t be control,so CI was carried out to improve hearing and speech recognition rate.The contralateral hearing also improved significantly after the operation.Conclusion：Endolymphatic sac decompression can effectively control Ménière′s disease in patients with vertigo attacks.CI can improve patients′hearing,and speech recognition rate and,also could improve the quality of life.CI was the first choice for the patient of 4stage Ménière′s disease.

关 键 词：梅尼埃病 Lermoyez综合征 耳蜗植入术 眩晕 内淋巴囊减压术 

分 类 号：R764.33[医药卫生—耳鼻咽喉科]