内淋巴囊乳突腔分流术后术腔纤维化对梅尼埃病疗效的影响

杨凤;刘阳;

1:保定市第二中心医院耳鼻咽喉科

2:海军总医院全军耳鼻咽喉中心

摘要

目的探讨梅尼埃病患者经内淋巴囊乳突腔分流术治疗后,其术腔纤维化对手术疗效的可能影响。方法回顾性分析3例行乳突切开内淋巴囊乳突腔分流术后复发、再次手术的梅尼埃病患者的临床资料,分析再次手术中所见及可能导致首次手术后复发的原因。结果 3例患者分别为梅尼埃病临床四期1例,三期2例;再次手术中均发现原乳突腔内淋巴囊减压区域为广泛增厚的纤维组织,T型硅胶片被包埋或排出,内淋巴囊双侧囊性结构消失;分别进行了迷路切除术1例,半规管阻塞术2例,术后均未再出现眩晕。结论内淋巴囊减压分流术后眩晕再发的原因十分复杂,而术后内淋巴囊手术区域纤维化、瘢痕增生等所导致的内淋巴分流受阻可能是再发眩晕的原因之一。

关键词

梅尼埃病;内淋巴囊分流术;纤维化

基金项目(Foundation):

作者

杨凤;刘阳;

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杨凤刘阳