内淋巴囊减压术与半规管填塞术治疗4期梅尼埃病的疗效比较

Efficacy comparison between endolymphatic sac surgery and semicircular canal occlusion in the treatment of stage 4 Ménière disease

目的:研究内淋巴囊减压术与半规管填塞术对4期梅尼埃病患者眩晕控制情况的疗效。方法:北京大学人民医院耳鼻咽喉科2009-2013年收治的4期梅尼埃病患者共23例,其中14例进行了内淋巴囊减压术,9例进行了半规管填塞术。术前完善检查,术后进行随访。结果:内淋巴囊减压术后患者的眩晕完全控制率为35.7%,基本控制率为28.6%,部分控制率为14.3%;半规管填塞术后患者的眩晕完全控制率为88.9%,基本控制率为11.1%。结论:内淋巴囊减压术和半规管填塞术均是4期梅尼埃病患者控制眩晕的可选方法,但半规管填塞术对于4期梅尼埃患者眩晕的完全控制率更高,对于无实用听力者可首选半规管填塞术。

Objective：To compare the vertigo controlling situation between the endolymphatic sac decompression（ELSD）and semicircular canal occlusion（SCO）in stage 4 Ménière disease.Method：Fourteen patients who underwent endolymphatic sac decompression and 9 patients who underwent semicircular canal occlusion from 2009 to 2013 were followed.All patients has complete preoperative examination and postoperative follow-up.Result：The vetigo control of the patients underwent endolymphatic sac decompression：completely control 35.7%;basic control 28.6%;partly control 14.3%;the vetigo control of the patients underwent semicircular canal occlusion：completely control 88.9%;basic control 11.1%.Conclusion：ELSD and SCO are alternative methods for the patients of stage 4.SCO has a much highter complete vertigo control rate.For the patients without practical listening,SCO is a better choice.