Peng A, Lu Y, Chen Z
Second Affiliated Hospital, Hunan Medical University, Changsha.
Zhonghua Er Bi Yan Hou Ke Za Zhi. 1995;30(6):329-31.
The effect of streptomycin placed in the fenestra of lateral semicircular canal (LSC) on the function and morphology of the normal and artificial hydropic inner ears in guinea pigs was studied in order to explore the method and possibility of treating Meniere's disease by using aminoglycosides. After placing the drug in the fenestra of LSC, no change in AP threshold of ECochG in normal ears but an increase of that in hydropic ears were found caloric induced nystagmus in both groups were disappeared. Under light microscope, severe damage of vestibular epithelium of three canal cristae and utricular macula was noted, while no insult of cochlear hair cells was found in normal ears. More severe damage of vestibular epithelium with part of them degenerated and atrophied and lesions of cochlear hair cells in basal turns and part of second turns occurred in hydropic ears. These demonstrated that the ototoxicity of streptomycin was higher in hydropic ears than in normal ears. In order to destroy vestibular function and preserve cochlear function, further study for adequate dosage of streptomycin and correct route of administration is needed.
为了探索使用氨基糖苷类药物治疗梅尼埃病的方法和可能性,研究了将链霉素置于豚鼠外侧半规管(LSC)开窗处对正常和人工积水内耳功能及形态的影响。将药物置于LSC开窗处后,正常耳的耳蜗电图(ECochG)动作电位(AP)阈值无变化,而积水耳的AP阈值升高,两组的冷热试验诱发眼震均消失。光镜下,可见三个半规管嵴和椭圆囊斑的前庭上皮严重受损,而正常耳的耳蜗毛细胞未受损伤。积水耳的前庭上皮损伤更严重,部分发生退变和萎缩,耳蜗基底转和部分第二转的毛细胞出现病变。这些结果表明,链霉素在积水耳中的耳毒性高于正常耳。为了破坏前庭功能并保留耳蜗功能,需要进一步研究链霉素的合适剂量和正确给药途径。