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作者等报告1984年9月至1989年1月间,接受迷路后前庭神经切断术的34例梅尼埃病患者的治疗结果,并对术后听力及眩晕控制情况进行远期追踪分析。患者中男9例,女25例,年龄27～75岁,均为保守治疗失败者。其中28例首选前庭神经切断术,6例经内淋巴囊减压或分流术失败后又行前庭神经切断术。34例中32例于术后1～2个月进行听力测试,根据0.5、1、2、3kHz 四个频率的纯音平均值(PTA)及语言识别率(SDS)进行听力评价,其中7例SDS 及/或 PTA 下降。11例于术后4～35个月进
The authors report the results of 34 Meniere’s disease patients undergoing vestibular neurectomy between September 1984 and January 1989 after long-term follow-up analyzes of postoperative hearing and vertigo control. There were 9 males and 25 females, ranging in age from 27 to 75 years old, all of whom were conservative treatment losers. Among them, 28 cases preferred vestibular nerve resection and 6 cases underwent vestibular neurotomy after failure of endolymphatic sac decompression or shunt. Thirty-two of 34 patients underwent hearing tests 1 to 2 months after operation. According to pure tone average (PTA) and speech recognition rate (SDS) at four frequencies of 0.5, 1, 2 and 3 kHz, 7 of them And / or PTA decline. 11 cases in 4 to 35 months after surgery