前庭神经切断术治疗顽固性眩晕并能保存听力,该方法首先在1904年由Parry提出,1930年McKenZie首例作了前庭神经切断术。作者从1987年3月到1990年2月对12例梅尼埃病和2例突聋病人进行经后颅窝前庭神经切断术,所有病人术前都采取了保守治疗,其中6例病人曾做过内淋巴囊手术,均未能控制眩晕。在14例病人中有7例采取经迷路后进路,5例经乙状窦进路,2例死耳患者采取经膜迷路进路。按照AA00划分法,手术后,所有病人的眩晕程度都在A～C级之间:听力1例提高,1例下降,其余无明显变化;12例仍有耳闷胀感;1例耳鸣减轻,2例加重;出现脑脊 Vestibular neurectomy for the treatment of intractable vertigo and preservation of hearing, the method was first proposed by Parry in 1904, 1930 McKenZie made the first case of vestibular nerve resection. From March 1987 to February 1990, 12 cases of Meniere’s disease and 2 cases of sudden deafness were treated by posterior fossa vestibular neurectomy. All patients received conservative treatment before surgery, and 6 of them had done Endolymphatic sac surgery, were unable to control dizziness. Of the 14 patients, 7 were taken by labyrinthine approach, 5 by sigmoid sinus approach, and 2 with dead ear disease. According to the AA00 classification, the degree of vertigo of all patients was between A and C after surgery: one case was improved in hearing, one case was decreased and the rest was no obvious change; 2 cases aggravated; appeared cerebrum