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应用前庭神经切除术治疗外周性眩晕以往多取颅中窝进路;迷路后进路直到1977年才由Brackman等首次成功地应用于前庭神经切除。作者自1986年6月底起对94例功能障碍的外周性眩晕病人分组采用以上两种进路手术并作了比较。两组病人性别比例和年龄分布相当。颅中窝组56例,其中48例为典型梅尼埃病,8例为非梅尼埃综合征;8例曾作过其他手术疗法。这些病人都在内耳道底作了选择性的前庭上或下神经切除术,在前庭-面神经吻合处离断后切除了包括前庭神经节在内的一段神经。蜗后进路组38例,37例为梅尼埃病,1例为非梅尼埃病。对该组病人18例作了标准的前庭神经切除,另20例还附加了辅助手术:11例加用了内淋巴囊-乳突腔硅胶瓣引流;8例切断了
The application of vestibular neurectomy in the treatment of peripheral vertigo in the past more than the middle cranial fossa into the road; lost after the road until 1977 by Brackman first successful application of vestibular nerve resection. Authors from the end of June 1986 on 94 cases of dysfunction of peripheral vertigo patients were grouped by the above two routes of surgery and compared. The two groups of patients with similar sex and age distribution. Craniotomy group 56 cases, of which 48 cases were typical Meniere’s disease, 8 cases were non-Meniere syndrome; 8 cases had other surgical treatment. Both of these patients underwent selective vestibular or inferior nerve resection in the medial auditory meatus. A section of the nerve, including the vestibular ganglion, was excised after vestibular-facial nerve anastomosis. Thirty-eight patients were found to have a retrograde approach, 37 to Meniere’s disease and 1 to non-Meniere’s disease. 18 cases of this group of patients underwent standard vestibular resection, and the other 20 cases were supplemented with adjuvant surgery: 11 cases with endolymphatic sac - mastoid cavity silicone drainage; 8 cases cut off