CAJ | 학술논문

目的:评估与比较内淋巴囊乳突腔分流术(EMS)和内淋巴囊减压术(ESD)治疗梅尼埃病(MD)的远期疗效.方法:1994-06-2007-07采用内淋巴囊手术治疗原诊断为MD的患者59例,其中EMS 34例,ESD 25例.选择诊断符合MD诊断依据和疗效评估标准,术后2年以上、随访资料完整的23例24耳(分流术12例13耳,减压术11例11耳)进行回顾性总结.结果:EMS组12例13耳.随访3～14年,眩晕A级完全控制者9耳,B级基本控制4耳;ESD组11例11耳,随访2～14年,术后眩晕A级8耳,B级2耳,C级1耳.EMS组听力B级1耳(7.7%).C级6耳,D级6耳;ESD组听力B级2耳(18.2%),C级4耳,D级5耳.2组眩晕控制和听力改善差异无统计学意义.结论:EMS和ESD都是治疗MD的有效方法,对眩晕症状的控制效果满意,临床分期中晚期患者仍有疗效.
목적:평고여비교내림파낭유돌강분류술(EMS)화내림파낭감압술(ESD)치료매니애병(MD)적원기료효.방법:1994-06-2007-07채용내림파낭수술치료원진단위MD적환자59례,기중EMS 34례,ESD 25례.선택진단부합MD진단의거화료효평고표준,술후2년이상、수방자료완정적23례24이(분류술12례13이,감압술11례11이)진행회고성총결.결과:EMS조12례13이.수방3～14년,현훈A급완전공제자9이,B급기본공제4이;ESD조11례11이,수방2～14년,술후현훈A급8이,B급2이,C급1이.EMS조은력B급1이(7.7%).C급6이,D급6이;ESD조은력B급2이(18.2%),C급4이,D급5이.2조현훈공제화은력개선차이무통계학의의.결론:EMS화ESD도시치료MD적유효방법,대현훈증상적공제효과만의,림상분기중만기환자잉유료효.
Objective:To investigate the efficacy of endolymphatic sac surgery for Meniere's disease,and compare the effects of endolymphatic sac decompression with endolymphatic-mastoid shunting.Method:Twelve patients(13 ears)undergoing endolymphatic-mastoid shunting and eleven patients (11 ears) undergoing endolymphatic sac decompression were retrospectively compared for hearing results and vertigo controlled rates.All of them have been followed up for more than two years after surgery.Result:According to Chinese Meniere's disease diagnosis and curative effect standard evaluation criteria pubilished in 2006,for vertigo symptom of endolymphaticmastoid shunting group,9 cases(69.2%) achieved grade A(eompletely controlled),4 cases (30. 8%) achieved grade B(fundamentally controlled).There were 8 cases(72.7%)with grade A, 2 cases (18.2%)with grade B and one case(90% ) with grade C among 11 patients who received endolymphatic sac decompression.There was not statistically significant differences in postoperative speech pure tone average and vertigo controlled rate between the two groups.Conslnsion:Endolymphatic sac decompression and endolymphatic-mastoid shunting are effective management with less complication for intractable Meniere's disease. Particularly,the vertigo symptoms were controlled signifisantly. Patients with Meniere's disease in advanced clinical stages may also be relieved.