外后半规管阻塞伴内淋巴囊减压治疗顽固性梅尼埃病外科技术探讨

发布时间：2018-03-29 19:02

本文选题：梅尼埃病　切入点：半规管阻塞　出处：《临床耳鼻咽喉头颈外科杂志》2017年02期

【摘要】：目的:探讨在内淋巴囊减压的基础上同时行外、后半规管阻塞治疗顽固性梅尼埃病的外科技术。方法:选择33例中晚期梅尼埃病患者,均在全身麻醉下完成内淋巴减压,同时磨开外、后半规管骨质,以软组织填塞外后半规管管腔。结果:所有患者均顺利完成手术,术后无面瘫、全聋及新生耳鸣发生;所有患者均有头朦胧感、不平衡感,其中术后1周内6例语言频率骨导听力下降,1例术后2个月发生突发性听力下降伴旋转性眩晕直至全聋。结论:该研究设计的理论基于减轻内淋巴积水压力与对传导通路的控制,在切除内淋巴囊表面骨质的基础上同时行外、后半规管阻塞,外科技术较易掌握。
[Abstract]:Objective: to explore the surgical technique of treating refractory Meniere's disease by external posterior semicircular canal obstruction on the basis of decompression of endolymphatic sac. Methods: 33 patients with middle and advanced Meniere's disease were treated with endolymphatic decompression under general anesthesia. At the same time, the bone of the posterior semicircular canal and the posterior semicircular canal were filled with soft tissue. Results: all the patients successfully completed the operation without facial palsy, total deafness and neonate tinnitus. All the patients had a hazy head and a sense of imbalance. Within 1 week after operation, 6 cases of speech frequency osteoconductive hearing loss occurred in 1 case with sudden hearing loss with rotational vertigo and total deafness 2 months after operation. Conclusion: the theory of this study is based on reducing the pressure of endolymphatic hydrops. The control of the conduction pathway, On the basis of excision of endolymphatic sac surface bone, the posterior semicircular canal obstruction is easy to master.
【作者单位】：保定市第二中心医院耳鼻咽喉科;海军总医院耳鼻咽喉头颈外科;
【基金】：河北省医学科学研究重点课题计划(No:20150009)
【分类号】：R764.33

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