CAJ | 학술논문

目的：研究内淋巴囊减压术治疗Lermoyez综合征的临床效果。方法病例材料来源于我科2007年至2013年收治的Lermoyez综合征病例共6例，均为经保守治疗后仍反复发作眩晕者，术前完善检查，行内淋巴囊减压术，术后进行随访，评估眩晕、听力、耳鸣、耳闷变化。结果术后66.7%（4/6）患者眩晕完全控制，33.3%(2/6)患者眩晕基本控制，57.1%（4/7）的患耳听力好转，33.3%（2/6）的患耳耳鸣减轻，80%（4/5）的患耳耳闷胀感减轻。结论内淋巴囊减压术能有效控制Lermoyez综合症患者的眩晕发作，是治疗该病的一种可行方法。
목적：연구내림파낭감압술치료Lermoyez종합정적림상효과。방법병례재료래원우아과2007년지2013년수치적Lermoyez종합정병례공6례，균위경보수치료후잉반복발작현훈자，술전완선검사，행내림파낭감압술，술후진행수방，평고현훈、은력、이명、이민변화。결과술후66.7%（4/6）환자현훈완전공제，33.3%(2/6)환자현훈기본공제，57.1%（4/7）적환이은력호전，33.3%（2/6）적환이이명감경，80%（4/5）적환이이민창감감경。결론내림파낭감압술능유효공제Lermoyez종합증환자적현훈발작，시치료해병적일충가행방법。
Objective To investigate effecacy of endolymphatic sac decompression (ELSD) for treating Lermoyez syn-drome. Methods From 2007 to 2013, 6 patients with recurrent vertigo despite nonsurgical treatment underwent ELSD after a thorough evaluation and were followed. Follow up methods included clinic visits and telephone interview to assess vertigo, hear-ing, tinnitus and aural fullness after the surgery. Results Vertigo was completely controlled in 4 patients (66.7%) and improved in the other 2 patients (33.3%). Hearing improved in 7 patients (57.1%), and 2 patients (33.3%) reported tinnitus relief. Aural fullness improved in 4 patients (80%). Conclusion ELSD can be effectively used to control the vertigo in Lermoyez syndrome patients. ELSD is a feasible approach for the treatment of this disease.