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本文回顾分析31例患者,行迷路后进路前庭神经切断术(RVN)治疗眩晕。其中美尼尔氏病25例,已行内淋巴囊手术(ELS)失败;2例为后颅窝血管袢;其他4例。31例中29例眩晕完全控制,治愈率为94%,2例仍有眩晕发作,经 ENG 检查仍有前庭反应,说明前庭神经切断不彻底,后来一例再次手术,眩晕得到完全控制。作者分析在美尼尔氏病患者中,经RVN 与 ELS 治疗相比、术后听力变化在统计学上无差别,而眩晕的控制 RVN 好于 ELS。前者治愈率为94%;后者为50%。手术适应症是单侧患病,经各种保守治疗无效者。在美尼尔氏
This retrospective analysis of 31 patients, the lost line approach vestibular neurotomy (RVN) treatment of vertigo. Among them, 25 cases of Ménière’s disease have failed to undergo endolymphatic sac surgery (ELS), 2 cases of posterior fossa vessels, and the other 4 cases. In the 31 cases, 29 cases were completely controlled by vertigo. The cure rate was 94%. Two cases still had vertigo. There was still a vestibular response after ENG examination. This indicated that the vestibular nerve was not completely excised, and then a case of reoperation and vertigo was completely controlled. The authors analyzed that in patients with Meniere’s disease, postoperative hearing changes were statistically indistinctive over RVN versus ELS, whereas dizziness was associated with RVN control being superior to ELS. The former cure rate was 94%; the latter was 50%. Indications for surgery is unilateral disease, after a variety of conservative treatment ineffective. In Minneapolis