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目的 :探讨颈内静脉哼鸣性耳鸣的诊断途径与治疗方法。方法 :4例搏动性耳鸣患者经耳镜及全身体检 ,听力学、电生理、超声及影像学检查确诊为颈内静脉哼鸣性耳鸣 ,进行了颈内静脉结扎术。结果 :3例耳鸣完全消失 ,1例明显减轻 ,不影响日常生活。结论 :颈内静脉哼鸣性耳鸣是一种无明显器质性病变的客观性耳鸣 ,但有时可严重干扰患者的正常生活。一经确诊 ,可行颈内静脉及其属支结扎、切断术。可获迅速和永久的治疗效果。
Objective: To explore the diagnosis and treatment of humming tinnitus in the internal jugular vein. Methods: Four cases of pulsatile tinnitus were diagnosed as humming tinnitus of the internal jugular vein by otoscope and general physical examination, audiology, electrophysiology, ultrasound and imaging examination. The ligation of the internal jugular vein was performed. Results: 3 cases of tinnitus completely disappeared, 1 case was significantly reduced, does not affect daily life. CONCLUSION: The humming tinnitus of the internal jugular vein is an objective tinnitus with no apparent organic lesion, but it may sometimes seriously interfere with the normal life of the patient. Once diagnosed, viable jugular vein and its branches ligation, surgery. Can be rapid and permanent treatment effect.