鼻内镜下难治性鼻出血的微创治疗

Endoscopic treatment of refractory nasal bleeding

目的:探讨鼻内镜下难治性鼻出血的微创治疗方法。方法:对28例难治性鼻出血患者行鼻内镜检查,以电凝止血结合可吸收材料微创填塞鼻腔治疗。结果:26例一次治愈,1例行二次治疗痊愈,1例经保守治疗痊愈。结论:难治性鼻出血的常见出血部位以嗅裂区和下鼻道后端多见,鼻内镜检查可准确定位出血点,从而有针对性地进行止血治疗,是一种微创而有效的治疗方法。

Objective： To explore the effects of endoscopic treatment for refractory nasal bleeding. Methods： Twenty-eight cases of refractory nasal bleeding were treated by nasal endoscopy combined with electro-coagulation and stuffing of reserbed materials. Results： Twenty-six cases were cured by one treatment, one was cured by two treatments, and one was cured by conservative treatment. Conclusion： The regions of the olfactory cleft and posterior part of the inferior meatus are the common areas in cases of refractory nasal bleeding. Bleeding points can be precisely searched by nasal endoscopy. Endoscopic treatment for refractory nasal bleeding is a microinvasive and effective method.