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梅尼埃病的前庭神经切断术。

Vestibular nerve section for Ménière's disease.

作者信息

Smyth G D, Kerr A G, Gordon D S

出版信息

J Laryngol Otol. 1976 Sep;90(9):823-31. doi: 10.1017/s0022215100082773.

DOI:10.1017/s0022215100082773
PMID:965820
Abstract

In summary: (i) the fact that VNS spares auditory function makes it preferable to labyrinthectomy. A comparison of VNS and the "conservative" operations on the inner ear shown that they have much the same effect on hearing. VNS by controlling vertigo may also provide an additional benefit by eliminating one of the stress factors concerned in the perpetuation of hydrops; (2) in the treatment of vertigo, VNS is now the most effective method of treatment. Because of elimination of vertigo is what chiefly concerns most of our patients, we suggest that when medical treatment fails to control vertigo, VNS is the surgical method of choice.

摘要

综上所述

(i)迷走神经刺激术保留听觉功能这一事实使其比迷路切除术更具优势。迷走神经刺激术与内耳“保守”手术的比较表明,它们对听力的影响大致相同。迷走神经刺激术通过控制眩晕,还可能通过消除与积水持续存在相关的压力因素之一而带来额外益处;(2)在眩晕治疗中,迷走神经刺激术是目前最有效的治疗方法。由于消除眩晕是大多数患者最主要关心的问题,我们建议当药物治疗无法控制眩晕时,迷走神经刺激术是首选的手术方法。

相似文献

1
Vestibular nerve section for Ménière's disease.梅尼埃病的前庭神经切断术。
J Laryngol Otol. 1976 Sep;90(9):823-31. doi: 10.1017/s0022215100082773.
2
The microsurgical treatment of labyrinthine vertigo.
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Ann Otol Rhinol Laryngol. 1980 Jul-Aug;89(4 Pt 1):318-24. doi: 10.1177/000348948008900405.
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Assessement of surgical procedures for Ménière's disease.梅尼埃病手术治疗方法的评估
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Operations on the saccus endolymphaticus and vestibular nerve: have they fulfilled their promise?内淋巴囊和前庭神经手术:它们实现了预期效果吗?
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Otolaryngol Clin North Am. 2010 Oct;43(5):1091-111. doi: 10.1016/j.otc.2010.05.014.
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引用本文的文献

1
Surgery for Menière's disease.梅尼埃病的外科治疗
Br Med J. 1977 Mar 5;1(6061):642. doi: 10.1136/bmj.1.6061.642-a.