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链霉素迷路灌注术治疗梅尼埃病和迟发性内淋巴积水

Evaluation of the effect of streptomycin perfusion of the labyrinth in the treatment of Meniere′s disease and endolymphatic hydrops

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【作者】 彭安全卢永德任基浩陈忠

【Author】 PENG An quan 1 LU Yong de 1 REN Ji hao 1 CHEN Zhong 1 ( 1 Department of Otolaryngology, Second Affiliatd Hospital of Hunan Medical University, Changsha 410011)

【机构】 湖南医科大学附属第二医院耳鼻咽喉科!长沙410011

【摘要】 目的 :研究链霉素迷路灌注术 (SPL )治疗梅尼埃病的临床疗效。方法 :对 1 3例梅尼埃病和 3例迟发性内淋巴积水患者用 SPL进行治疗。结果 :随访 5~ 7年 ,平均 6.3年 ,眩晕完全控制 9例 ,基本控制 4例 ,部分控制 2例 ,无效 1例 ;听力提高 1例 ,无变化 5例 ,下降 1 0例 ;耳鸣改善 3例 ,不变 5例 ,加重 8例。结论 :链霉素迷路灌注术是一种安全、疗效肯定的治疗梅尼埃病的方法 ,但部分患者听力可能受损 ,耳鸣可能加重

【Abstract】 Objective:To investigate the clinical effect of streptomycin perfusion of the labyrinth (SPL) in the treatment of Meniere’s disease.Method:13 patients with Meniere′s disease and 3 patients with delayed endolymphatic hydrops (DEH) underwent SPL. The follow-up time was between 5 and 7 years (average 6.3 years). Result:Vertigo was completely controlled in 9 patients, substantialy controlled in 4, limitedly controlled in 2 and not controlled in 1.Hearing was improved in 1 patients, stabilized in 5 and worse in 10. Tinnitus was improved in 3 patients, stabilized in 5 and worse in 8.Conclusion:SPL is a safe and effective method in the treatment of Meniere′s disease and DEH, but the hearing may be insulted and tinnitus may be worse in some patients.

  • 【文献出处】 临床耳鼻咽喉科杂志 ,JOURNAL OF CLINICAL OTORHINOLARYNGOLOGY , 编辑部邮箱 ,2000年10期
  • 【分类号】R764
  • 【被引频次】5
  • 【下载频次】45
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