Nd:YAG激光与射频治疗鼻腔利特尔区出血的疗效比较

A comparative study on the therapeutic effects of Nd:YAG laser therapy with that of radiofrequency on epistaxis in Little's area

目的比较Nd:YAG激光与射频治疗鼻腔利特尔区出血的效果.方法576例鼻出血患者,Nd:YAG激光治疗390例,射频治疗186例,随访时间6～12个月.结果两组的治愈率分别是77.4%和95.2%(P＜0.05);治疗后需鼻腔填塞的比例分别是44.4%和12.9%(P＜0.05);需再次治疗比例分别是15.8%和6.5%(P＜0.05).两种治疗方法差异有显著性意义.结论在鼻出血治疗中,射频更方便有效.

Objective To investigate the therapeutic effects of Nd:YAG laser therapy with that of radiofrequency(RF)on epistaxis in Little's area in a comparative way. Methods In a group of cases(576) with epistaxis in Little's area,390 were treated by Nd:YAG laser therapy and 186 were treated by RF.All the cases were followed up for 6 to 12 months after the treatment. Results The curative rate was 77.4% for those treated by Nd:YAG laser therapy,with 44.4% needing nasal packing following the laser therapy and 15.8% treated twice for stopping nose bleeding.In contrast,the curative rate was 95.2% for ones treated by RF,with only 12.9% needing nasal packing following RF therapy and 6.5% treated twice for stopping nose bleeding.There was a significant difference in the therapeutic effects between the two groups. Conclusion RF is more effective for the treatment of nose bleeding in Little's area.