摘要
46例Meniere病人,按Shea分期,其中第3期26人,第4期11人,第5期9人,分别采用颅中窝入路,迷路入路作Scarpa神经节切除术或同作耳蜗神经切断术。结果:术后1～12年复查,全部病人均无眩晕发作。第3期术后53.8%病人听觉提高11～20dB,第4、5期听觉无明显改变。疗效优于迷路后或乙状窦后前庭神经切除术。
46 conservatively incurable-cases of Meniere disease underwent Scarpa ganglioriectomy depending on the Shea’s classification.In addition to the surgical approach of middle cranial fossa,transla-byrinthine approach was undergone in the remained cases who were combined with cochlear neurectomy.The results for 1~12 years follow-up indicated that no vertiginous episodes were found over all cases and that hearing improved 11~20 dB in 53.8% of cases classified in 3rd stage.However,no essentially audiological change occurred in 4th and 5th stages.It concludes that Scarpa ganglionec-tomy might be a appropriate surgery superior to vestibular neurectomy via retrolaby-rinthine or retrosigmoid approaches for those cases who are incurable conservative-
出处
《中国眼耳鼻喉科杂志》
1996年第1期1-3,共3页
Chinese Journal of Ophthalmology and Otorhinolaryngology
