梅尼埃病的外科治疗

The surgical therapy of Meniere’s disease

  • 摘要: 目的:总结近20年梅尼埃病(Meniere病)外科治疗效果。方法:对30例(33耳次)患者的症状、检查结果、术后随诊2~20年的疗效进行调查。结果:典型三症同时出现者18例,以眩晕或耳聋单一症状为首发症状者各6例。听功能检查:纯音测听中、重度受损者26例占86.6%-SP/AP≥0.37者占80.8%,甘油试验阳性者75%;患侧半规管功能低下者占93.3%。疗效评价:眩晕完全控制18耳(54.5%),基本控制5耳(15.2%),部分控制占9.1%,无效占21.2%。听力好转者,2耳次(6.1%),不变13耳次,恶化者18耳次。结论:手术治疗控制眩晕有效率为78.8%。

     

    Abstract: Objective:the aim was to evaluated effect of opertion of meniere's disease for proximate 20 years. Methods:The complains, results of examination and they effects were investigated for the 30 cases (33 ears) with retrospective analyses. Results:The sixty percent out of patients initial symptoms starded with typical Meniere's triad, either initial symptoms starded with vertigo attacks or hearing loss combined with tinnitus were 6 cases respectively. The auditory functions showed that: over moderatly severe hearing impairment were 26 cases (86.6%), ECochG-SP/AP≥0.37 were 80%,75% glyceol test evidenced postive reaction. The canal paresis were 93.3% in caloric test. The contral vertigo and auditory sensitivety were separately calculated, the follow-up time were 2-20 years after treatment. The complete control of vertigo were 18 ears (54.5%) substantial control were 5 ears (15.2%). Limited control and uneffect were 9.1% and 21.2% respectively. The hearing improvement were only 2 ears, another hearing unchanged and worse. Conclusion:The effective rate of vertiginous control were 78.8% in the surgical treatment of Menisere’s disease.

     

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