Efficacy of semicircular canal occlusion in the treatment of fifteen pateints with Meniere's disease
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摘要: 目的 探讨半规管阻塞术治疗难治性梅尼埃病的远期疗效。方法 回顾性分析行半规管阻塞术治疗的15例难治性梅尼埃病患者的临床资料，比较术前与术后患者眩晕、生活质量、听力、耳鸣等指标的变化情况。所有患者随访24个月以上。结果 术后眩晕控制率为100%，其中A级11例，B级4例；生活质量改善率为100%；听力减退4例(26.7%)，听力无改变11例(73.3%)；耳鸣改善7例(46.7%)，耳鸣无变化7例(46.7%)，耳鸣加重1例(6.7%)。结论 半规管阻塞术能有效控制难治性梅尼埃病的眩晕症状，明显改善患者的生活质量，远期疗效确切，但有听力下降风那险。Abstract: Objective To investigate the long-term efficacy of semicircular canal occlusion in the treatment of refractory Meniere's disease.Method Fifteen patients with Meniere's disease who underwent semicircular canal occlusion were reviewed. The preoperative and postoperative frequency of vertigo, quality of life, hearing and tinnitus level were compared. All patients were followed for more than 24 months.Result Postoperatively, vertigo was controlled effectively in all 15 cases, and the control rate was 100%, of which 11 cases were completely controlled(Grade A) and 4 cases were basically controlled(Grade B). The improvement rate of quality of life was 100%. The hearing worse in 4 cases(26.7%) and stabilized in 11 cases(73.3%). The tinnitus was relieved in 7 cases(46.7%), unchanged in 7 cases(46.7%) and aggravated in 1 case(6.7%).Conclusion Semicircular canal occlusion can effectively control the vertigo symptoms of refractory Meniere's disease and improve the quality of life. The long-term efficacy of semicircular canal occlusion is definite, but there is a risk of hearing loss.
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Key words:
- Meniere's disease /
- semicircular canal occlusion /
- efficacy
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