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[用耳毒性抗生素鼓室内注射治疗梅尼埃病。55例随访研究(作者译)]

[The intratympanic treatment of Menière's disease with ototoxic antibiotics. A follow-up study of 55 cases (author's transl)].

作者信息

Lange G

出版信息

Laryngol Rhinol Otol (Stuttg). 1977 May;56(5):409-14.

PMID:141554
Abstract

Report about 55 patients suffering from severe unilateral Menières disease, seen over a period of 3-10 years. They were treated with intratympanic administration of Streptomycinesulfate or- better -Gentamycinesulfate. The medication was given using a plastic tube inserted behind the annulus by transmeatal approach. 0.1 ml Gentamycinesulfate (earlier Streptomycinesulfate were instillated every 5 hours until the first signs of inner-ear-reaction (nystagmus or vertigo) appeared. -In 90% of the cases vertiginous attacks ceased after therapy. Hearing was preserved in 76%, tinnitus and periaural pressure were influenced markedly.

摘要

报告了55例重度单侧梅尼埃病患者,观察期为3至10年。他们接受了鼓室内注射硫酸链霉素或更佳的硫酸庆大霉素治疗。通过经耳道途径将塑料管插入鼓膜环后部给药。每5小时滴注0.1 ml硫酸庆大霉素(之前使用硫酸链霉素),直至出现内耳反应(眼球震颤或眩晕)的最初迹象。90%的病例在治疗后眩晕发作停止。76%的患者听力得以保留,耳鸣和耳周压迫感也受到显著影响。

相似文献

1
[The intratympanic treatment of Menière's disease with ototoxic antibiotics. A follow-up study of 55 cases (author's transl)].[用耳毒性抗生素鼓室内注射治疗梅尼埃病。55例随访研究(作者译)]
Laryngol Rhinol Otol (Stuttg). 1977 May;56(5):409-14.
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引用本文的文献

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Therapeutic strategies in the treatment of Menière's disease: the Italian experience.梅尼埃病治疗策略:意大利经验。
Eur Arch Otorhinolaryngol. 2019 Jul;276(7):1943-1950. doi: 10.1007/s00405-019-05423-7. Epub 2019 Apr 11.
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Intratympanic Gentamicin for Intractable Ménière's Disease - A Review and Analysis of Audiovestibular Impact.鼓室内注射庆大霉素治疗难治性梅尼埃病——听觉前庭影响的综述与分析
Int Arch Otorhinolaryngol. 2018 Apr;22(2):190-194. doi: 10.1055/s-0037-1604064. Epub 2017 Jul 17.
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Gentamicin concentration gradients in scala tympani perilymph following systemic applications.
全身应用后鼓阶外淋巴中庆大霉素的浓度梯度。
Audiol Neurootol. 2013;18(6):383-91. doi: 10.1159/000355283. Epub 2013 Nov 1.
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Gentamicin administration on the stapes footplate causes greater hearing loss and vestibulotoxicity than round window administration in guinea pigs.庆大霉素经镫骨底板给药比经圆窗给药对豚鼠造成更大的听力损失和前庭毒性。
Hear Res. 2013 Oct;304:159-66. doi: 10.1016/j.heares.2013.07.013. Epub 2013 Jul 27.
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Localization of gentamicin uptake in the acutely isolated inner ear of the rat.庆大霉素在急性分离的大鼠内耳中的摄取定位。
Int J Physiol Pathophysiol Pharmacol. 2011;3(2):71-87. Epub 2011 Mar 28.
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Drug delivery for treatment of inner ear disease: current state of knowledge.内耳疾病治疗的药物递送:现有知识状况。
Ear Hear. 2010 Apr;31(2):156-65. doi: 10.1097/AUD.0b013e3181c351f2.
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HNO. 2008 Dec;56(12):1243-52. doi: 10.1007/s00106-008-1841-8.
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