内淋巴囊减压术与半规管填塞术治疗4期梅尼埃病的疗效比较

韩琳; 司峰志; 余力生; 夏瑞明; 郑宏伟; 静媛媛; 马鑫

doi:10.13201/j.issn.1001-1781.2016.01.004

内淋巴囊减压术与半规管填塞术治疗4期梅尼埃病的疗效比较

- 1. 北京大学人民医院耳鼻咽喉科(北京:100044);
- 2. 新疆医科大学第二附属医院耳鼻咽喉科
基金项目:
“十二五”科技支撑计划(No:2012BAI12B02)

北京大学人民医院研究与发展基金(No:RDB2014-02,No:RDC2015-32,No:RDC2015-07)

详细信息

通讯作者: 郑宏伟,E-mail:zhenghongwei@vip.163.com

中图分类号: R764.33

收稿日期: 2015-10-09

Efficacy comparison between endolymphatic sac surgery and semicircular canal occlusion in the treatment of stage 4 Ménière disease

- 1. Department of Otolaryngology, Peking University People's Hospital, Beijing, 100044, China;
- 2. Department of Otolaryngology, the Second Hospital of Xinjiang Medical University

More Information

Corresponding author: ZHENG Hongwei, E-mail: zhenghongwei@vip.163.com

Received Date: 09 October 2015

摘要

摘要: 目的:研究内淋巴囊减压术与半规管填塞术对4期梅尼埃病患者眩晕控制情况的疗效。方法:北京大学人民医院耳鼻咽喉科2009-2013年收治的4期梅尼埃病患者共23例,其中14例进行了内淋巴囊减压术,9例进行了半规管填塞术。术前完善检查,术后进行随访。结果:内淋巴囊减压术后患者的眩晕完全控制率为35.7%,基本控制率为28.6%,部分控制率为14.3%;半规管填塞术后患者的眩晕完全控制率为88.9%,基本控制率为11.1%。结论:内淋巴囊减压术和半规管填塞术均是4期梅尼埃病患者控制眩晕的可选方法,但半规管填塞术对于4期梅尼埃患者眩晕的完全控制率更高,对于无实用听力者可首选半规管填塞术。
- 梅尼埃病 /
- 眩晕 /
- 内淋巴囊减压术 /
- 半规管填塞术
Abstract: Objective:To compare the vertigo controlling situation between the endolymphatic sac decompression(ELSD) and semicircular canal occlusion (SCO) in stage 4 Ménière disease.Method:Fourteen patients who underwent endolymphatic sac decompression and 9 patients who underwent semicircular canal occlusion from 2009 to 2013 were followed. All patients has complete preoperative examination and postoperative follow-up. Result:The vetigo control of the patients underwent endolymphatic sac decompression:completely control 35.7%;basic control 28.6%;partly control 14.3%;the vetigo control of the patients underwent semicircular canal occlusion:completely control 88.9%;basic control 11.1%.Conclusion:ELSD and SCO are alternative methods for the patients of stage 4.SCO has a much highter complete vertigo control rate. For the patients without practical listening, SCO is a better choice.
- Ménière disease /
- vertigo /
- endolymphatic sac decompression /
- semicircular canal occlusion

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参考文献(6)

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