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美尼尔氏病迄今尚无特效疗法。在国外开展外科治疗较早,并不断有新的手术方案提出。据Torok(1977)统计1951～1975年间国际上报告手术治疗的论文即达257篇。兹特收集文献,将手术治疗方法综述如下,以供参考。一、迷路破坏性手术:此类手术操作比较简便,危险性较小,适用于单侧患耳、发作频繁、听力丧失严重者。 (一)迷路凿开术:Mollison(1931)首先采取乳突径路,暴露出外半规管,于砧骨短突内上方开窗,向迷路内注入酒精以破坏膜迷路。术后眩晕消失而听力亦多完全丧失。Day(1946)改在外半规管开窗内插入电凝针,进行1～3次电凝,同时由助手观察眼震由刺激性转为麻痹性为止,注意不使发生面肌抽动。治疗94例,2例并
There is no effective treatment for Meniere’s disease so far. Surgical treatment abroad earlier, and there are constantly proposed new surgical options. According to Torok (1977), there were 257 papers on surgical treatment reported from 1951 to 1975 in the world. Ze special collection of literature, surgical treatment methods are summarized below for reference. First, the lost destructive surgery: This type of operation is relatively simple, less dangerous, suitable for unilateral ear, frequent seizures, severe hearing loss. (A) Lost Openwork: Mollison (1931) first adopted the mastoid approach to expose the semicircular canal, open the window above the ankle, and inject alcohol into the labyrinth to ruin the labyrinthine membrane. Postoperative vertigo disappeared and the hearing was completely lost. Day (1946) to change the outside of the semicircular canal to open the window to insert the coagulation needle, 1 to 3 times the coagulation, at the same time by the assistant to observe the nystagmus from irritant to paralytic date, pay attention not to occur facial tics. Treatment of 94 cases, 2 cases and