梅尼埃病手术治疗的探讨

目的：探讨不同手术治疗梅尼埃病的临床疗效。方法：对21例梅尼埃病患者行内淋巴囊减压术．9例行乙状窦后前庭神经切断术，并进行随访观察。结果：术后经3～6年随访，内淋巴囊减压组眩晕完全控制11例，基本控制4例，部分控制4例，未控制2例。前庭神经切断组眩晕均得到完全控制。结论：内淋巴囊减压术仍然是手术治疗梅尼埃病的首选方法，但对内淋巴囊手术治疗无效或严重眩晕失去工作能力者．应考虑采用前庭神经切断术。

The investigation of operative treatment of Meniere's disease

Objective: To investigate the clinical effect of the operations in the treatment of Meniere's disease. Method:Twenty one patients with Meniere's disease were treated by the operation of decompression of the endolymphatic sac. Nine patients were treated by vestibular neurectomy via retrosigmoid sinus approach. The follow up time was between 3 and 6 years. Result:In 21 patients by the operation of decompression of the endolymphatic sac, vertigo was completely controlled in 11 cases, substantially controlled in 4, limitedly controlled in 4 and not controlled in 2. In 9 patients underwent vestibular neurectomy via retrosigmoid sinus approach, vertigo was completely controlled. Conclusion: Endolymphatic sac surgery is the first way in the operative treatments of Meniere's disease. The operation of vestibular neurectomy should be adopted only in the patients who have failed after the operation of endolymphatic sac surgery or have losed the working ability substantially.