梅尼埃病相关问题再探讨

摘要

必须意识到虽然新颁布的国内、外梅尼埃病诊治指南指导着临床工作,一些细节的忽视和知识的缺失影响着疾病的诊治.在梅尼埃病的诊疗过程中,如果缺失听力学检查,缺失对听力学检查结果的正确解读;如果不能甄别具有类似临床表现的梅尼埃病与伴有眩晕的突发性耳聋;如果不能区分梅尼埃病与梅尼埃综合症的含义;如果不能认清难治性梅尼埃病的本质,都或可能导致误诊误治.指南是机械的,刻板的;临床是生动的,多变的,只有遵循规范化的诊疗路径(阶梯治疗),对这些相关问题进行剖析,对国内、外指南中的关键要素进行解读,梅尼埃病患者才能获得科学的、精准的治疗.%With new guidelines issued in China and abroad being adopted in the clinic for the diagnosis and treat-ment of Meniere's disease,it must be realized that correct diagnosis and treatment of Meniere's disease may still be af-fected by negligence or lack of knowledge regarding auditory examination and interpretation,differential diagnosis from conditions such as idiopathic sudden sensorineural hearing loss with dizziness and Meniere's syndrome,as well as the nature of refractory Meniere's disease.Guidelines tend to be mechanical and rigid,while clinical conditions are often dynamic and variable.To achieve precise and science based management of Meniere's disease,one must master a com-prehensive understanding of relevant issues as well as key points in guideline recommendations,while following estab-lished protocols.