摘要
目的观察采用经鼓室内放置庆大霉素明胶海绵的改良化学性迷路切除术对顽固性梅尼埃病的远期疗效。方法采用改良化学性迷路切除术治疗顽固性梅尼埃病患者22例,回顾性分析其远期疗效。结果 22例手术均顺利完成。5例术后随访4~16个月,均无眩晕发作;17例随访2年以上,13例眩晕完全控制,另4例分别在治疗后2个月、4个月、3年和5年再发旋转性眩晕。2例患者出现听力轻度恶化,1例术后一过性耳鸣加重。结论改良化学性迷路切除是一种治疗顽固性梅尼埃病有效、安全的新方法。
Objective To observe the long-term efficacy of modified chemical labyrinthectomy in the treatment of intractable Meniere＇s disease（MD） by filling the tympanum with gentamicin-gelatin sponge. Methods Twenty-two patients with intractable MD were treated with modified chemical labyrinthectomy with gentamicin-gelatin sponge. The long-term efficacy was observed. Results Patients were operated successfully in 22 cases. Five cases were followed up for 4 to 16 months, which showed no vertigo attack. Seventeen cases were followed up for more than 2 years, which showed that vertigo was completely controlled in 13 cases, and vertigo recurrence was found in other 4 cases in the 2^rd month, 4th month, 3^rd year and 5^th year after treatment, respectively. Two patients experienced mild hearing deterioration, and one patient got postoperative transient tinnitus exacerbation. Conclusion Modified chemical labyrinthectomy is an effective and safe theraov for intractable MD.
作者
杨瑶
陈智斌
周涵
田慧琴
邢光前
YANG Yao CHEN Zhibin ZHOU Hart et al(Department of Otolaryngology, First Affiliated Hospital, Nanjing Medical University, Nanjing 210029, CHINA)
出处
《江苏医药》
CAS
2017年第7期483-485,共3页
Jiangsu Medical Journal
关键词
梅尼埃病
改良化学性迷路切除术
Meniere＇s disease
Modified chemical labyrinthectomy
