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作者从1979年9月至1982年8月诊断48例美尼尔氏病,不论术前前庭小管断层相所见如何,对其中43例符合手术指征者,均作内淋巴弥散引流术,此手术疗效较以往其他术式为好。术前前庭小管断层相检查与疾病分型和预测手术效果关系极为密切,如前庭小管开放组手术成功率达80%(23/29),而非开放组则为50%(7/14)。美尼尔氏病现代治疗指征:(1)内科治疗,听力在20dB以内,听力波动<10d B;(2)毛细引流管,听力损失>20dB或听力波动>10dB,或内科治疗失败者;(3)神经切断,适应于分流手术失败病例。按本文分析指出,手术指征不必拘泥于断层相所提示前庭小管情况,但前庭小管非开放组手术成功率较低。
Forty-eight patients with Meniere’s disease were diagnosed from September 1979 to August 1982. All 43 patients with surgical indications were treated with endolymphatic diffusion drainage regardless of the preoperative vestibular canaliculus. Surgical efficacy than the past surgery as well. The preoperative vestibular tubal phase examination was closely related to the disease classification and the prediction of the surgical outcome. For example, the success rate of the open operation in the vestibular canal was 80% (23/29) compared with 50% (7/14) in the non-open group. Indications of modern treatment of Meniere’s disease: (1) medical treatment, hearing within 20dB, hearing fluctuations <10d B; (2) capillary drainage tube, hearing loss> 20dB or hearing fluctuations> 10dB, or medical treatment failure; (3) nerve cut off, adapted to shunt cases of failure. According to the analysis of this article pointed out that the surgical indications do not have to rigidly adhere to the fault phase prompted by the situation of vestibular tubules, but the vestibular canal non-open group operation success rate is low.