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美尼尔氏病的治疗十分复杂,确诊后应先给予药物治疗,包括限制食盐摄入、利尿剂、迷路镇静药(diazepam,meclizine,glycopy-rrolate)和经皮肤东莨菪硷注射等。药物疗法失败,按照眩晕发作次数、严重程度和二耳听力情况采用相应的外科术式。双侧性病例通常首选内淋巴囊手术,以冀保存原有听力,无效时考虑经颅中窝或迷路后进路的前庭神经切除术。听力损失严重的单侧病例,建议作经乳突迷路切除术(transmastoid labyriothectomy),
The treatment of Meniere’s disease is very complex. Medication should be given after diagnosis, including restriction of salt intake, diuretics, diazepam (meclizine, glycopyro-rrolate) and transdermal scopolamine injection. Drug therapy fails, according to the number of vertigo attacks, severity and hearing of the two ears using the appropriate surgical procedures. Bilateral cases are usually the first choice of endolymphatic sac surgery, in order to save the original hearing, invalid consider transcranial mid-fossa or labyrinthine approach to the vestibular neurectomy. Unilateral severe hearing loss cases are recommended for mastoidectomy (transmastoid labyriothectomy)