半规管阻塞术治疗3、4期梅尼埃病的疗效观察

发布时间：2018-06-09 22:08

本文选题：梅尼埃病 + 半规管阻塞术　；参考：《临床耳鼻咽喉头颈外科杂志》2017年04期

【摘要】：目的:探讨半规管阻塞术对3、4期顽固性梅尼埃病的疗效。方法:29例梅尼埃病患者术前听力分期为梅尼埃病3、4期,其中3期12例,4期17例,均行半规管阻塞术。对比分析患者术前与术后眩晕、听力、前庭双温试验、耳鸣分级、功能分级等情况。随访6~23个月,平均13个月。结果:术后眩晕控制率100%,其中26例(89.7%)完全控制,3例(10.3%)基本控制;术后听力无明显变化者25例(86.2%),听力提高2例(6.9%),听力下降2例(6.9%);前庭双温试验示术后术耳半规管功能减弱;术后耳鸣改善12例(41.4%);功能分级下降28例(96.6%)。结论:半规管阻塞术能有效控制3、4期梅尼埃病患者的眩晕发作,短期疗效确切,能有效改善患者生活功能,但长期疗效仍需继续观察。
[Abstract]:Objective: to investigate the effect of semicircular canal occlusion on refractory Meniere disease in stage 3 and 4. Methods Twenty nine patients with Meniere's disease were divided into three stages and four stages before operation, including 12 patients with stage 3 and 17 patients with stage 4. All patients underwent semicircular canal occlusion. The vertigo, hearing, vestibular double-temperature test, tinnitus grade and functional grade were compared and analyzed before and after operation. The follow-up ranged from 6 to 23 months (mean 13 months). Results: the control rate of postoperative vertigo was 100, of which 26 cases (89.7%) were completely controlled (10.3%), 25 cases had no obvious change of hearing after operation (86.2%), 2 cases improved hearing (6.9%), 2 cases had hearing loss (6.9%), the vestibular double temperature test showed that the function of ear semicircular canal was weakened after operation. Postoperative tinnitus was improved in 12 cases and functional grade was decreased in 28 cases. Conclusion: semicircular canal occlusion can effectively control vertigo attack in patients with Meniere's disease in stage 3 and 4. The short-term curative effect is definite and the life function of patients can be improved effectively, but the long-term curative effect still needs to be observed.
【作者单位】：武警总医院耳鼻咽喉头颈外科
【基金】：武警总医院科研课题基金资助(No:WZ2015029)
【分类号】：R764.9

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