从1976年元月至1982年7月,作者对72例美尼尔氏病患者进行了内淋巴囊手术。其中65例单侧发病,7例双侧发病。手术指征为:由于眩晕而不能工作、以及经利尿剂治疗无效者。本文介绍了三种内淋巴囊手术方法——单纯内淋巴囊切开术,囊切开带蒂颞肌瓣插入术,以及囊切开伴内淋巴-乳突分流术。对于术后仍不能控制眩晕者,根据当时听力水平决定给予前庭神经切断术或迷路破坏术。 From January 1976 to July 1982, the authors performed endolymphatic sac surgery on 72 patients with Meniere’s disease. Including 65 cases of unilateral disease, 7 cases of bilateral disease. Surgical indications were: inability to work due to dizziness, and ineffectiveness of diuretic therapy. This article describes three methods of endolymphatic sac surgery - simple endolymphatic sac incision, capsulotomy pedicled temporalis flap insertion, and capsulotomy with endolympho-mastoid shunt. For patients who still can not control the vertigo after surgery, according to the level of hearing was decided to give vestibular neurotomy or labyrinthine destruction.