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美尼尔氏病是临床常见病,但病因尚不明确。各种内、外科疗法均有其局限性。本文采用两窗联合径路内淋巴分流减压术(球囊嵌钉术与耳蜗球囊造瘘术同时进行),治疗2例顽固性膜迷路积水并有听力严重损害的患者。分别观察4年多及1年多,其效果良好,患者的眩晕症状均消失;1例耳鸣消失,1例耳鸣明显减轻;1例听力无变化,1例15个月后随访,语言频率听力下降约16dB。文中还就两窗联合径路内淋巴分流减压术治疗美尼尔氏病的指征、技术原理加以研讨。
Meniere’s disease is a common clinical disease, but the etiology is not yet clear. Various internal and surgical therapies have their limitations. In this paper, two windows combined intra-patholytic shunt decompression (balloon occlusion and cochlear balloon ostomy at the same time), the treatment of 2 cases of refractory membranous hydrops and severe hearing loss patients. One case of tinnitus disappeared, one case of tinnitus was significantly reduced; one case of hearing was unchanged, one case was followed up after 15 months, the frequency of hearing loss About 16dB. The article also on the two windows joint path lymphatic shunt decompression of Meniere’s disease indications, technical principles to be discussed.