耳源性眩晕是耳科临床常见的症状性诊断,其病变部位大致分为前庭末梢感受器和前庭神经系两部分。传统的药物只能控制一部分患者的眩晕发作,因此,手术治疗眩晕已运用到临床。国内从80年代开展了梅尼埃尔病的手术治疗,至今尚未见到前庭神经微血管减压术治疗耳源性眩晕的报告,本文将我科1986年以来6例外耳源性眩晕的手术治疗进行了总结,报告如下。1 临床资料:6例患者男2例,女4例,年龄32岁—45岁。病史2年—4年。其中临床诊断梅尼埃尔病5例,桥小脑角微血管压迫症1例。梅尼埃尔病5例均有反复发作性眩晕伴恶心呕吐,耳鸣及耳内胀感。纯音测听传导性聋1例,感音性聋3例,听力正常2例。纯音测听(非隔音室)平均语言频率听阈小于30dB1耳,41— Auricular vertigo is a common clinical diagnosis of otology, the lesion is divided into vestibular peripheral receptors and vestibular nervous system in two parts. Traditional drugs can only control some patients with vertigo, therefore, surgical treatment of vertigo has been applied to the clinic. Domestic surgery from the 80’s Meniere’s disease, has yet to see the report of vestibular nerve microangular decompression for the treatment of otogenic vertigo, this article will be our department since 1986, 6 cases of ear-like vertigo surgery To sum up, the report is as follows. 1 clinical data: 6 patients with 2 males and 4 females, aged 32 years -45 years old. Medical history 2 years - 4 years. Including clinical diagnosis of Meniere’s disease in 5 cases, 1 case of cerebellopontine angle microvascular compression. Five cases of Meniere’s disease have recurrent vertigo with nausea and vomiting, tinnitus and ear swelling. Pure tone audiometry hearing loss in 1 case, sensory deafness in 3 cases, normal hearing in 2 cases. Pure tone audiometry (non-soundproof room) Average speech frequency Less than 30dB1 listening threshold, 41-