Jin Lei, Wang Yucheng
Department of Otorhinolaryngology-Head and Neck Surgery, Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai, China.
Ear Nose Throat J. 2015 Sep;94(9):386-92.
We conducted a retrospective study to analyze the therapeutic effects of ligation of the internal jugular vein in a series of adults with pulsatile tinnitus of venous origin. Our study group was made up of 12 patients-all women, aged 27 to 61 years (mean: 40 ± 6.1)-who had been diagnosed with venous pulsatile tinnitus and who were treated with jugular vein ligation. Follow-up had been conducted by telephone interviews for 1 to 6 years postoperatively to assess tinnitus status over the long term. Seven patients achieved complete relief of their tinnitus immediately after surgery, but 5 of them experienced a recurrence within 2 years. The remaining 5 patients received no relief from surgery, including 1 patient who actually experienced a worsening of her tinnitus to the point that it became an intolerable roar. We conclude that treatment of pulsatile tinnitus of venous origin by ligation of the internal jugular vein should be avoided because of poor outcomes and in view of the possibility of complications. In addition to our study findings, we discuss 2 of our cases in more detail.
我们进行了一项回顾性研究，以分析颈内静脉结扎术对一系列静脉源性搏动性耳鸣成年患者的治疗效果。我们的研究组由12名患者组成，均为女性，年龄在27至61岁之间（平均：40±6.1岁），她们被诊断为静脉搏动性耳鸣并接受了颈静脉结扎术治疗。术后通过电话访谈进行了1至6年的随访，以长期评估耳鸣状况。7名患者术后立即耳鸣完全缓解，但其中5人在2年内复发。其余5名患者手术未缓解，其中1名患者耳鸣实际加重，达到难以忍受的轰鸣声程度。我们得出结论，鉴于效果不佳以及存在并发症的可能性，应避免通过颈内静脉结扎术治疗静脉源性搏动性耳鸣。除了我们的研究结果外，我们还更详细地讨论了我们的2个病例。
