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目的：观察难治性梅尼埃病手术控制眩晕的远期疗效。方法：施行内淋巴囊手术或经迷路进路前庭神经切断术治疗难治性梅尼埃病５４例，其中长期接受随访、资料完整者１２例。结果：随访８～１３年，６例前庭神经切断术患者未再发作眩晕；６例内淋巴囊手术者，３例眩晕症状完全控制，３例基本控制。结论：内淋巴囊手术及经迷路进路前庭神经切断术为控制难治性梅尼埃病患者眩晕的有效手段，对于有适应证的患者经迷路进路前庭神经切断术控制眩晕的效果更为确实
Objective: To observe the long-term efficacy of intractable Meniere’s disease in controlling vertigo. Methods: Fifty-four patients with refractory Meniere’s disease were treated with endolymphatic sac surgery or vestibular nerve resection through labyrinthine approach. Among them, 12 cases were followed up for a long time. Results: During 8 to 13 years of follow-up, 6 patients underwent vestibular neurotomy had no further episodes of dizziness; 6 patients underwent lymphatic sac surgery and 3 patients with vertigo were completely controlled and 3 patients underwent basic control. CONCLUSIONS: Endolymphatic sac surgery and vestibular nerve resection via labyrinthine approach are effective methods to control dizziness in patients with refractory Meniere’s disease. They are more effective in controlling dizziness after labyrinthine vestibular neurotomy in patients with indications indeed