涉及前庭系统的外科手术后需重视规范的前庭康复  

Standardized vestibular rehabilitation should be emphasized after surgical treatment involving vestibular system

作　　者：王璟 迟放鲁 Wang Jing;Chi Fanglu(ENT Institute and Department of Otorhinolaryngology,Eye&ENT Hospital,Fudan University/NHC Key Laboratory of Hearing Medicine(Fudan University),Shanghai 200031,China)

机构地区：[1]复旦大学附属眼耳鼻喉科医院耳鼻喉科上海听觉医学中心国家卫生健康委员会听觉医学重点实验室,上海200031

出　　处：《中华医学杂志》2021年第26期2021-2024,共4页National Medical Journal of China

基　　金：国家自然科学基金(81970889,81870724)。

摘　　要：涉及前庭系统的外科治疗包括损害前庭功能的顽固性眩晕手术、累及前庭系统的内耳手术以及前庭系统肿瘤手术等。这些手术常会导致该侧前庭功能减弱甚至丧失,或原有功能障碍进一步加重。如果术后未进行规范的干预治疗,患者易出现反复发作的眩晕,或长时间的视物晃动和(或)平衡不稳等症状。通过使用促进前庭代偿的药物以及规范的无创性前庭康复训练,能够尽快消除症状,缩短前庭代偿的时程,并有利于快速建立稳定的前庭代偿,提高患者术后生活质量。因此,应该重视与前庭系统相关外科治疗后系统而规范的前庭康复。Surgical treatment involving vestibular system includes intractable vertigo surgery,inner ear surgery and vestibular tumor surgery.These operations often lead to the weakening or even loss of vestibular function,or further aggravation of the original dysfunction.If there is no standardized treatment after operation,patients are prone to recurrent vertigo,or long-term blurred vision and/or imbalance,as well as other symptoms.Through the use of medicines to promote vestibular compensation and standardized non-invasive vestibular rehabilitation training,symptoms can be eliminated as soon as possible,the duration of vestibular compensation can be shortened,stable vestibular compensation could be rapidly established,and thus the postoperative quality of life for those patients could be improved.Therefore,we should pay attention to standardize the vestibular rehabilitation after surgical treatment involving vestibular system.

关 键 词：前庭疾病 耳外科手术 眩晕 前庭代偿 康复 

分 类 号：R764.9[医药卫生—耳鼻咽喉科]