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目的:总结近20年梅尼埃病(Meniere病)外科治疗效果。方法:对30例(33耳次)患者的症状、检查结果、术后随诊2~20年的疗效进行调查。结果:典型三症同时出现者18例,以眩晕或耳聋单一症状为首发症状者各6例。听功能检查:纯音测听中、重度受损者26例占86.6%—SP/AP≥0.37者占80.8%,甘油试验阳性者75%;患侧半规管功能低下者占93.3%。疗效评价:眩晕完全控制18耳(54.5%),基本控制5耳(15.2%),部分控制占9.1%,无效占21.2%。听力好转者,2耳次(6.1%),不变13耳次,恶化者18耳次。结论:手术治疗控制眩晕有效率为78.8%。
Objective: To summarize the surgical treatment of Meniere’s disease in recent 20 years. Methods: 30 patients (33 ears) in patients with symptoms, test results, the follow-up of 2 to 20 years of efficacy were investigated. Results: There were 18 cases of typical three syndromes at the same time, and 6 cases were the first symptoms of single symptom of dizziness or deafness. Listening to functional tests: pure tone audiometry, severe damage in 26 cases accounted for 86.6% -SP / AP ≥ 0.37 accounted for 80.8%, glycerol test positive 75%; ipsilateral semicircular canal dysfunction accounted for 93% .3%. Efficacy evaluation: Vertigo completely control 18 ears (54.5%), the basic control of 5 ears (15.2%), partial control accounted for 9.1%, invalid accounted for 21.2%. Hearing improvement, 2 ears (6.1%), unchanged from 13 ears, worsening 18 ears. Conclusion: The effective rate of surgical treatment for controlling vertigo is 78.8%.