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梅尼埃病是一种特发的内耳病,基本病理改变为内淋巴积水.本院自1983年12月~1995年9月对经药物对症治疗无效的6例梅尼埃病患者进行了内淋巴囊蛛网膜下腔分流术,并对传统术式进行一些改进,收到良好的效果,现报告如下.临床资料一、一般资料6例(6耳)中,右耳2例,左耳4例.其中男4例,女2例;年龄26~57岁,平均38岁.6例均有反复发作性旋转性眩晕,病程最短者3年,最长20年;眩晕平均每月发作1~3次,每次发作持续30分至数小时;6例均有波动性听力下降及耳鸣;术前纯音听力检查患侧0.25、0.5、1、2、3KHz听阈均值为30~65dBHL,平均55dBHL;患耳0.25、0.5、1、2、3KHz听阈均值较健耳高出20~40dBHL;ABLB及SISI检查揭示完全重振,甘油试验阳性;前庭功能检查患侧功能减退;6例中2例行MRI及CT检查未见异常.
Meniere’s disease is an idiopathic internal ear disease, the basic pathological changes of endolymphatic hydropsis .In our hospital from December 1983 to September 1995 on the drug symptomatic treatment of 6 cases of Meniere’s disease were not Endolymphatic sac subarachnoid shunt, and some improvements to the traditional surgical procedures, received good results, are as follows.Clinical data First, the general information 6 cases (6 ears), the right ear in 2 cases, the left ear 4 cases, including 4 males and 2 females, aged 26 to 57 years old, average 38 years old.6 cases had recurrent spin-like vertigo, the shortest course of 3 years, the longest 20 years; vertigo average monthly attack 1 ~ 3 times, each episode lasting 30 minutes to several hours; 6 cases of fluctuating hearing loss and tinnitus; preoperative pure tone hearing test ipsilateral 0.25,0.5,1,2,3 KHz hearing threshold mean 30 ~ 65dBHL, an average of 55dBHL ; Ears 0.25,0.5,1,2,3 KHz hearing threshold mean value higher than the healthy ears 20 ~ 40dBHL; ABLB and SISI examination revealed complete revitalization, glycerol test positive; vestibular function test ipsilateral dysfunction; 6 cases in 2 cases MRI and CT examination showed no abnormalities.