大多数耳鼻咽喉科医师对美尼尔氏病的治疗感到灰心。药物疗法或简单而安全的手术都很难达到控制眩晕发作和阻止听力下降的目的。多数疗法缺乏科学根据而是凭治疗者的个人印象倡导的。美尼尔氏病的手术疗法可分为两类:一类是部分地或全部去除前庭功能的手术,另一类是迷路造瘘术以增加内淋巴的引流。引流手术中有Portmann的内淋巴囊分流术、Fick的球囊造瘘 Most otolaryngologists are discouraged from the treatment of Meniere’s disease. Drug therapy or simple and safe surgery are difficult to achieve the purpose of controlling vertigo and prevent hearing loss. Most therapies lack scientific basis but are advocated by the healer’s personal impression. There are two types of surgical treatment for Meniere’s disease: one is surgery that partially or completely removes vestibular function, and the other is labyrinthine fistulation to increase endolymphatic drainage. Portmann’s endolymphatic sac shunt during drainage surgery, and Fick’s balloon fistula