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报告感音神经性聋并迟发性眩晕(SHL-DV)14耳。其中由中耳炎及其有关手术所致者8耳,突聋和原因不明各3耳。14耳由耳聋至眩晕发作相隔期平均22.6年,眩晕病程平均6.2年。2耳行内淋巴囊减压术;3耳由中耳炎所致者严重耳聋,行迷路切除术;3耳行庆大霉素鼓室灌注术;6耳行链霉素外半规管灌注术。14耳平均随访2.3年。迷路切除术者眩晕消除,听力丧失;氨基糖甙类药物灌注者眩晕控制,听力有不同程度保存。提示重症SHL-DV药物治疗无效者,化学性迷路切除术是可取的。
Reported sensorineural hearing loss and delayed-onset vertigo (SHL-DV) 14 ears. Which caused by otitis media and its related surgery 8 ears, sudden deafness and unexplained 3 ears. 14 ears from deaf to vertigo episodes averaged 22.6 years, duration of dizziness average of 6.2 years. 2 ears line lymphatic sac decompression; 3 ears due to otitis media caused by severe deafness, labyngectomy; 3 ears gentamicin tympanic perfusion; 6 ear line of semicircular canal filling streptomycin. 14 ears were followed up for an average of 2.3 years. Lost patients with vertigo to eliminate, loss of hearing; aminoglycoside drug dizziness vertigo control, hearing to varying degrees. Prompt severe SHL-DV drug treatment ineffective, chemical labyctomy is desirable.