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治疗美尼尔氏病的内淋巴囊手术、球囊切开等减压措施的效果,不如选择性前庭神经切除术理想,通常采用的颅中窝进路危险性较大,因此併发症较少的迷路后进路已被普遍应用。本文提出乙状窦后部管道内前庭神经切除术,它与迷路后进路的不同点一是不切除乳突,二为切除内耳道的前庭神经,且易与蜗神经分离而作全切除,疗效更好,手术难度和手术时程却与迷路后进路相似。操作技术:患者侧卧位,头部置于三点固
Treatment of Meniere’s disease endolymphatic sac surgery, balloon incision and other decompression measures less effective than the selective vestibular resection ideal, commonly used cranial fossa greater risk of approach, so the complications than Less lost after the road has been widely used. This paper presents the posterior duct sigmoid sinus vestibular neurectomy, which is different from the labyrinthine approach is the excision of the mastoid, two for the excision of the vestibular canal of the ear canal, and easily separated from the cochlear nerve for total resection, curative effect Better, the difficulty of surgery and surgical procedures are similar to the lost after the road. Operational technique: The patient is in the lateral position with the head at three o’clock