| 难治性梅尼埃病手术控制眩晕的远期疗效观察 |
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| 引用本文： | 殷善开,柯国欣,顾能荣,沈平江,张胜兰,吴雅琴,臧危平.难治性梅尼埃病手术控制眩晕的远期疗效观察[J].临床耳鼻咽喉头颈外科杂志,1999,13(7):291-292. |
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| 作者姓名： | 殷善开 柯国欣 顾能荣 沈平江 张胜兰 吴雅琴 臧危平 |
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| 作者单位： | 上海市第六人民医院耳鼻咽喉科,上海市第六人民医院耳科研究室,上海市听力测试中心,上海,200233 |
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| 摘 要： | 目的：观察难治性梅尼埃病手术控制眩晕的远期疗效。方法：施行内淋巴囊手术或经迷路进路前庭神经切断术治疗难治性梅尼埃病５４例，其中长期接受随访、资料完整者１２例。结果：随访８￣１３年，６例前庭神经切断术患者示再发作眩晕；６例内淋巴囊手术者，３例眩晕症状完全控制，３例基本控制。结论：肉淋巴囊手术及经迷路进行前庭神经切断术为控制难治性梅尼埃病患者眩晕的有效手段，对于有适应证的患者经迷路进路前庭神经切断术控
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| 关 键 词： | 梅尼埃病 眩晕 内淋巴囊手术 前庭神经切断术 |
Long-term results of surgical treatment of intractable Meniere's disease for control of vertigo |
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| Yin ShankaiKe GuoxinGu Nengronget al.Long-term results of surgical treatment of intractable Meniere's disease for control of vertigo[J].Journal of Clinical Otorhinolaryngology,1999,13(7):291-292. |
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| Authors: | Yin ShankaiKe GuoxinGu Nengrong |
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| Institution: | Department of Otolaryngology and Laboratory of Otology, Shanghai Sixth People's Hospital, Hearing Measuring Center of Shanghai City, Shanghai 200233. |
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| Abstract: | Objective: To acquire the longterm (an average of over 10
years followup) results of surgical treatment of patients with Meniere's disease for control of
vertigo. Method: Endolymphatic sac surgery was done in 6 cases (1 case of endolymphatic sac
decompression and 5 cases of sacmastoid shunting) and translabyrinth vestibular neurotomy
was operated on 6 cases. Result: Complete relief from symptoms of vertigo occurred in the 6
cases through vestibular neurotomy and there were no recurrence in 1113 years followup.Three
of 6 cases with endolymphatic sac surgery had complete control of vertigo and were cured
clinically.Symptoms of vertigo of the rest 3 cases were effectively controlled.
Conclusion:5BZEndolymphatic sac surgery and translabyrinth vestibular neurotomy are
effective way for control of vertigo of patients with intractable Meniere's disease.Translabyrinth
vestibular neurotomy are more effective for control of vertigo for appropriately selected
patients. |
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| Keywords: | Meniere's diseaseVertigoEndolymphatic sac surgeryTranslabyrinth vestibular neurotomy |
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