摘要
探讨血管压迫性耳鸣的发病原因及提高手术治疗的方法。方法：经乙状窦后径路进入桥小脑角，在手术显微镜下，对听神经周围仔细检查，发现３８耳第Ⅷ脑神经均有血管压迫，其中６耳伴有蛛网膜增厚粘连。将压迫或刺激听神经根的责任血管及粘连分开，并在神经与血管间夹放一块自体肌膜将其隔开。结果：术后３８耳耳鸣均完全消失。其中４例伴眩晕者术后眩晕亦消失。随访６个月～７年２个月，２耳耳鸣复发，３６耳痊愈。结论：血管压迫性耳鸣确诊后，采用乙状窦后径路神经血管减压术治疗，可以取得满意的疗效。
Objective:To evaluate the diagnosis and surgical indications of vascular compressive tinnitus. Method:We searched carefully the possible focus causing vascular compressive tinnitus around Ⅷ cranial nerve in cerebellopontine angle via retrosigmoid sinus approach under microscope in 40 cases. The responsible blood vessels and synechia focus was separated and one piece of auto-musculomembrane was put between blood vessels and the nerve. Result:We had 38 cases of operation. All of them had artery compression on the surface of Ⅷ cranial nerve, 6 of them had arachnoid synechia. After operation, the symptoms of tinnitus disappeared thoroughly. Of them 4 cases with vertigo recovered also. Recurrences were found in 2 cases in the follow-up survey which last 6 monthes to 7 years and 2 monthes. Conclusion: Surgical treatment of neurovascular decompression for vascular compressive tinnitus via retrosigmoid sinus approach has positive therapeutic effect as long as the diagnosis is correct.
出处
《临床耳鼻咽喉科杂志》
CSCD
1999年第4期155-156,共2页
Journal of Clinical Otorhinolaryngology
关键词
血管压迫
耳鸣
神经血管减压术
Nerve root
Vascular compression
Tinnitus
Decompression of blood vessel
