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目的分析鼓室内注射庆大霉素治疗难治性梅尼埃病的方法及疗效。方法对19例难治性梅尼埃病患者鼓室内注射浓度为30mg/ml的庆大霉素0.5~0.8ml,每周一次,共3次。结果 19例患者治疗后随访18~24个月,眩晕控制为A级12例,B级4例,有效控制率为84.2%,听力损失者4例,约占有21.1%。结论鼓室内注射庆大霉素治疗难治性梅尼埃病疗效确切,对听力的损害轻微,且操作简单,费用低,易于临床推广。
Objective To analyze the method and effect of intragastric injection of gentamicin for refractory Meniere’s disease. Methods Nineteen patients with intractable Meniere’s disease were infused intrathecally with 0.5 ~ 0.8ml gentamycin at a concentration of 30mg / ml once a week for 3 times. Results Nineteen patients were followed up for 18-24 months. There were 12 patients with grade A and 4 patients with grade B, the effective control rate was 84.2% and hearing loss was found in 4 patients (21.1%). Conclusion Intratympanic gentamicin injection for the treatment of refractory Meniere’s disease has definite curative effect, mild damage to hearing, simple operation, low cost and easy clinical promotion.