半规管阻塞术治疗梅尼埃病15例疗效分析  

Efficacy of semicircular canal occlusion in the treatment of fifteen pateints with Meniere's disease

作　　者：陈元星 孙勍[1] 李健[1] 张清华 赵龙珠 单希征 王辉兵[1] CHEN Yuanxing;SUN Qing;LI Jian;ZHANG Qinghua;ZHAO Longzhu;SHAN Xizheng;WANG Huibing(Department of Otolaryngology Head and Neck Surgery,the Third Medical Center of PLA General Hospital,Beijing,100039,China)

机构地区：[1]解放军总医院第三医学中心耳鼻咽喉头颈外科,北京100039

出　　处：《临床耳鼻咽喉头颈外科杂志》2020年第4期337-339,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：武警总医院科研基金课题(No:WZ2015029)。

摘　　要：目的:探讨半规管阻塞术治疗难治性梅尼埃病的远期疗效。方法:回顾性分析行半规管阻塞术治疗的15例难治性梅尼埃病患者的临床资料,比较术前与术后患者眩晕、生活质量、听力、耳鸣等指标的变化情况。所有患者随访24个月以上。结果:术后眩晕控制率为100%,其中A级11例,B级4例;生活质量改善率为100%;听力减退4例(26.7%),听力无改变11例(73.3%);耳鸣改善7例(46.7%),耳鸣无变化7例(46.7%),耳鸣加重1例(6.7%)。结论:半规管阻塞术能有效控制难治性梅尼埃病的眩晕症状,明显改善患者的生活质量,远期疗效确切,但有听力下降风那险。Objective:To investigate the long-term efficacy of semicircular canal occlusion in the treatment of refractory Meniere's disease.Method:Fifteen patients with Meniere's disease who underwent semicircular canal occlusion were reviewed.The preoperative and postoperative frequency of vertigo,quality of life,hearing and tinnitus level were compared.All patients were followed for more than 24months.Result:Postoperatively,vertigo was controlled effectively in all 15cases,and the control rate was 100%,of which 11cases were completely controlled(Grade A)and 4cases were basically controlled(Grade B).The improvement rate of quality of life was 100%.The hearing worse in 4cases(26.7%)and stabilized in 11cases(73.3%).The tinnitus was relieved in 7cases(46.7%),unchanged in 7cases(46.7%)and aggravated in 1case(6.7%).Conclusion:Semicircular canal occlusion can effectively control the vertigo symptoms of refractory Meniere's disease and improve the quality of life.The long-term efficacy of semicircular canal occlusion is definite,but there is a risk of hearing loss.

关 键 词：梅尼埃病 半规管阻塞术 疗效 

分 类 号：R764.33[医药卫生—耳鼻咽喉科]