Sun Wenqing, Xie Nanping, Guo Menghe, Huang Yile
Department of Otolaryngology-Head and Neck Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou, 510280, China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2009 Nov;23(22):1020-2.
To investigate the efficacy of endolymphatic sac surgery for Meniere's disease, and compare the effects of endolymphatic sac decompression with endolymphatic-mastoid shunting.
Twelve patients(13 ears) undergoing endolymphatic-mastoid shunting and eleven patients (11 ears) undergoing endolymphatic sac decompression were retrospectively compared for hearing results and vertigo controlled rates. All of them have been followed up for more than two years after surgery.
According to Chinese Meniere's disease diagnosis and curative effect standard evaluation criteria published in 2006, for vertigo symptom of endolymphatic mastoid shunting group, 9 cases (69.2%) achieved grade A(completely controlled), 4 cases (30.8%) achieved grade B (fundamentally controlled). There were 8 cases (72.7%) with grade A, 2 cases (18.2%) with grade B and one case (9%) with grade C among 11 patients who received endolymphatic sac decompression. There was not statistically significant differences in postoperative speech pure tone average and vertigo controlled rate between the two groups.
Endolymphatic sac decompression and endolymphatic-mastoid shunting are effective management with less complication for intractable Meniere's disease. Particularly, the vertigo symptoms were controlled significantly. Patients with Meniere's disease in advanced clinical stages may also be relieved.
探讨内淋巴囊手术治疗梅尼埃病的疗效，并比较内淋巴囊减压术与内淋巴囊-乳突分流术的效果。
回顾性比较12例（13耳）接受内淋巴囊-乳突分流术的患者和11例（11耳）接受内淋巴囊减压术的患者的听力结果和眩晕控制率。所有患者术后均随访两年以上。
根据2006年发布的中国梅尼埃病诊断和疗效标准评估标准，内淋巴囊-乳突分流术组眩晕症状，9例（69.2%）达到A级（完全控制），4例（30.8%）达到B级（基本控制）。11例接受内淋巴囊减压术的患者中，8例（72.7%）为A级，2例（18.2%）为B级，1例（9%）为C级。两组术后言语纯音平均值和眩晕控制率差异无统计学意义。
内淋巴囊减压术和内淋巴囊-乳突分流术是治疗难治性梅尼埃病的有效方法，并发症少。特别是眩晕症状得到明显控制。临床晚期梅尼埃病患者也可得到缓解。
