[Comparison of curative effect between decompression and incision of endolymphytic sac].

OBJECTIVE

We compared the curative effect between endolymphytic sac decompression and incision of endolymphytic sac to explore a simple, effective surgical way with less complication.

METHOD: 23 endolymphatic sac decompression and 22 incision of endolymphatic sac were performed routinely under general anesthesia.

RESULT: 41 of 45 patients were followed up more than 2 years after the surgical procedure, 21 of which received endolymphatic sac decompression, while others received incision of endolymphatic sac. According to Chinese Meniere disease's diagnosis and curative effect standard evaluation criteria tried out in 1996, 13 got grade A(completely controlled), 4 got grade B (fundamentally controlled), 3 got grade C (partially controlled) while 1 got grade D (not controlled) among 21 patients who received endolymphatic sac decompression. The fully control rate is 61.9%. Among 20 patients who received incision of endolymphatic sac, 12 got grade A (completely controlled), 5 got grade B (fundamentally controlled), 2 got grade C (partially controlled) while 1 got grade D (not controlled). The fully control rate is 60%.

CONCLUSION

There is no significant difference between endolymphatic sac decompression and incision of endolymphatic sac in curative effect,but endolymphatic sac decompression is more convenient,safe and has less complication compared with incision of endolymphatic sac. From this,we favor endolymphatic sac decompression in selection of surgical method.