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首页> 外文期刊>The American journal of otology >Surgical treatment of vertigo--the Karolinska Hospital policy.
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Surgical treatment of vertigo--the Karolinska Hospital policy.

机译：眩晕的外科治疗-卡罗林斯卡医院政策。

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Results are reported for 40 patients with disabling vestibular symptoms, treated with endolymphatic sac surgery (ELS), gentamicin injections in the middle ear, or vestibular neurectomy by the middle fossa approach. If ELS failed, an additional treatment with a second ELS procedure or gentamicin instillations was performed. If the gentamicin treatment failed, the patients were treated with a second series of gentamicin instillations or vestibular neurectomy or both. The results in relieving the patients of their vertigo were found to be almost the same with each of the treatment modalities: approximately 82% of the patients in each group reported total or substantial relief of vestibular symptoms, whereas the rate of complications differed between the groups. After ELS, one patient had a possible complication in that she became deaf 10 days after surgery. After gentamicin injections, 12 of the 14 patients with preoperatively measurable hearing had significantly decreased hearing, but no other complications were reported. After vestibular neurectomy, five of 11 patients had complications in the form of hearing loss, infections, or transient facial paralysis. No effect on tinnitus was seen after any of the methods. When evaluating the outcome after the final surgical treatment of the 40 patients, it was found that 38 patients (95%) reported total or substantial relief of vestibular symptoms. A future policy for surgical treatment of vertigo is discussed.
机译：报告了40例前庭症状致残的患者的结果，这些患者接受了内淋巴囊手术（ELS），中耳庆大霉素注射或通过中窝方法进行前庭神经切除术。如果ELS失败，则进行第二次ELS手术或庆大霉素滴注的其他治疗。如果庆大霉素治疗失败，则对患者进行第二次庆大霉素滴注或前庭神经切除术或两者同时治疗。发现缓解眩晕患者的结果与每种治疗方式几乎相同：每组中约82％的患者报告前庭症状完全缓解或完全缓解，而两组之间的并发症发生率不同。 ELS后，一名患者可能发生并发症，因为她在手术后10天失聪。庆大霉素注射后，术前可测听的14例患者中有12例听力明显下降，但未报告其他并发症。前庭神经切除术后，11例患者中有5例以听力下降，感染或短暂性面瘫为形式出现并发症。任何一种方法对耳鸣均无影响。在对40例患者的最终手术治疗后的结局进行评估时，发现38例患者（95％）报告了前庭症状的全部或实质缓解。讨论了治疗眩晕的未来策略。

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