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【名称】内淋巴积水(ELH)系组织学改变。据Belal等的组织学检查,结合患者生前病史分析,ELH者47例共57耳中,属美尼尔氏病(MD)者9例共11耳,仅占1/5左右。另有300例共495个颞骨标本,原先诊断为老年性聋、耳硬化症、慢性中耳炎和正常耳四类,组织学发现蜗顶部有ELH者占15.8%(13.2～20.5%),但患者生前均无眩晕和/或波动性听力减退,因此,ELH并不是MD的同义词。【分类】Jahrsdoerfer等将本病分为原发型与继发型,前者指原因不明的ELH,后者指继发于外伤、先天性梅毒、耳硬化症、颞骨骨折、内淋巴管阻塞等引起的ELH。原发型也名特异型,据176例MD分析,原发型约占88%。山
【Name】 Endolymphatic hydrops (ELH) is a histological change. According to the histological examination by Belal et al. And the analysis of the patient’s previous medical history, there were 47 ears of ELH with 57 ears, and 9 cases with Meniere’s disease (MD) had 11 ears, accounting for only 1/5. Another 300 cases of 495 temporal bone specimens were originally diagnosed as senile deafness, otosclerosis, chronic otitis media and normal ear. Histology revealed 15.8% (13.2-20.5%) of the patients with ELH on the top of the worm, There is no dizziness and / or fluctuating hearing loss, so ELH is not synonymous with MD. 【Category】 Jahrsdoerfer and other the disease is divided into primary and secondary type, the former refers to the unexplained ELH, which refers to secondary to trauma, congenital syphilis, otosclerosis, temporal bone fractures, lymphatic obstruction caused by ELH. Also known as the primary type of specific, according to 176 cases of MD analysis, about 88% of the primary type. mountain