The surgical treatment of vertigo.
The surgical treatment of vertigo.
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眩晕的手术治疗。
DOI：
10.1288/00005537-196910000-00009
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发表时间：
1969
期刊：
影响因子：
--
通讯作者：
J. Pulec
中科院分区：
文献类型：
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作者：
J. Pulec
眩晕的外科治疗可以通过一些手术来选择性地攻击耳朵的特定区域或试图在耳朵中完成某些明确的变化来完成。这些手术被称为后半圆形管消融、内淋巴蛛网膜下腔分流术、中窝前庭神经切断术和经鼻或耳后入路的破坏性迷路切除术，或经viii神经迷路切断术。此外，对于与第八神经或内耳没有直接关系的情况，可能需要行颈动脉内膜切除术或脊髓背根切断术。一旦做出了仔细的诊断，治疗就必须适应每个病人的需要。没有绝对的标准可以用于每一个患有良性疾病的病人。当发现听神经瘤时，应将其切除。有了准确的诊断和明智的医疗和外科手术，医生可以给大多数抱怨眩晕的病人减轻痛苦。对手术过程进行了描述。总结了每次手术的适应证和预期的结果。
The surgical treatment for vertigo can be accomplished by a number of operations to selectively attack specific areas of the ear or to try to accomplish certain definite changes in the ear. These are called ablation of the posterior semi-circular canal, endolymphatic subarachnoid shunt, middle fossa vestibular nerve section and destructive labyrinthectomy by the transcanal or post-auricular approach, or translabyrinthine section of the VIIIth nerve. In addition, carotid endarterectomy or section of the dorsal spinal rootlets may be indicated for conditions not directly related to the VIIIth nerve or the inner ear. Once a careful diagnosis has been made, the treatment must be adapted to each individual patient's need. No absolute criteria can be used for every patient who has benign disease. When an acoustic neuroma has been detected, it should be removed. With accurate diagnosis and the judicious employment of medical treatment and surgical procedures, physicians can give relief to the majority of their patients who complain of vertigo. A description of the surgical procedures is given. The indications for each operation and the results expected are summarized.