Bento R F, Cisneros J C, De Oliveira Fonseca A C
Otorhinolaryngology Department,Faculty of Medicine,Hospital das Clínicas,University of São Paulo,Brazil.
J Laryngol Otol. 2017 Feb;131(2):144-149. doi: 10.1017/S0022215116009713. Epub 2016 Dec 15.
To describe the results obtained with endolymphatic sac drainage in patients with Ménière's disease.
A retrospective case review study was conducted of 95 Ménière's disease patients who underwent endolymphatic sac drainage in a tertiary care referral centre, after failing a long course of medical management. The main outcome measures were vertigo control and hearing preservation.
In patients with unilateral disease, vertigo control was obtained in 94.3 per cent of patients. A significant improvement in cochlear function was seen in 14 per cent of patients, and hearing was preserved or improved in 88 per cent. For the bilateral group, vertigo control was obtained in 85.7 per cent of patients and cochlear function improved in 28 per cent. Hearing preservation was attained in 71 per cent of these patients.
Endolymphatic sac drainage is a good surgical option for patients with incapacitating endolymphatic hydrops, providing a high percentage of vertigo control and hearing preservation.
描述梅尼埃病患者内淋巴囊引流的结果。
对在一家三级医疗转诊中心接受内淋巴囊引流的95例梅尼埃病患者进行回顾性病例研究，这些患者在经过长期药物治疗失败后接受了该手术。主要观察指标为眩晕控制和听力保留。
在单侧疾病患者中，94.3%的患者眩晕得到控制。14%的患者耳蜗功能有显著改善，88%的患者听力得以保留或改善。对于双侧疾病组，85.7%的患者眩晕得到控制，28%的患者耳蜗功能改善。这些患者中有71%的患者听力得以保留。
内淋巴囊引流对于患有失能性内淋巴积水的患者是一种良好的手术选择，能实现较高比例的眩晕控制和听力保留。
