摘要
为总结选择不同的手术方法治疗梅尼埃病的经验，分析１１９例（１１９耳）采用手术方法治疗的梅尼埃病患者。诊断和疗效评定按１９９６年上海全国会议制定的梅尼埃病诊断依据和疗效分级，在病的分期和劳动能力方面，参照ＡＡＯ－ＨＮＳ１９９５年的梅尼埃病的诊断和疗效评价标准分期：第二期４８例均行内淋巴囊分流术；第三期４４例，行Ｓｃａｒｐａ神经节切除术３２例，迷路入路前庭耳蜗神经切断术１２例；第四期２７例，行Ｓｃａｒｐａ神经节切除术４例，内淋巴囊分流术７例，前庭耳蜗神经切断术１６例。结果：内淋巴囊分流术对可逆性病变眩晕好转率为７９．２％，听力维持在正常水平者达３５．４％；Ｓｃａｒｐａ神经节切除术应用于尚存实用听力和可助听力的患者；迷路入路前庭耳蜗神经切断术对晚期梅尼埃病的耳鸣有较佳疗效。认为：根据梅尼埃病患者临床表现判断病变的可逆性和程度，实施不同的手术方法是十分重要的。
cases (ears) of Meniere's disease operated on with different surgical methods were reevaluated with the criteria (Chinese ENT Association, 1996). 48 cases in second stage underwent endolymphatic sac shunt (ESS); 32 cases in third stage underwent scarpa ganglionectomy (SGN) and 12 cases in the same stage ESS; 16 cases in fourth stage vestibulocochlear neurectomy(VCN) and others ESS(7 cases) and SGN(4 cases). The results showed that ①ESS successfully relieved vertigo in 79.2 per cent of the patients in second stage (reversible stage), and their hearing tended to stabilize(35.4%);②SGN was successful in controlling the vertigo of those patients in third stage who may retain some usable hearing;③Patients underwent VCN in fourth stage experienced a rapid elimination of tinnitus. The postoperative results were highly dependent on careful staging and selection of the surgical method.
出处
《中华耳鼻咽喉科杂志》
CSCD
1997年第4期233-235,共3页
Chinese Journal of Otorhinolaryngology
关键词
内耳眩晕症
外科手术
Meniere's disease Endolymphatic sac Vestibular nerve Surgery, operative
