134例隐匿性鼻出血治疗体会

Treatment Experience on Delitescence Rhinorrhagia

目的探讨隐匿性鼻出血的临床特点,出血部位及治疗方案,旨在提高隐匿性鼻出血的治疗水平。方法回顾性分析2001～2006年,我院经治的隐匿性鼻出血134例,所有患者均在表麻下在鼻内窥镜下探查及双极电凝止血,并积极查找病因,对因治疗。结果资料表明,止血成功132例,占98.5%,失败2例,分别为上颌窦癌及上颌窦血管瘤患者,另行其他手术治疗;出血部位按发生频率从高到低分别为：下鼻道后段,鼻中隔后缘下方,后鼻孔上缘,下鼻道前段,其他。结论隐匿性鼻出血的治疗在鼻内窥镜下按出血频发部位规律逐一分区查找出血点,并予双极电凝止血是微创、有效的手段。但必须同时认真查找病因,针对病因治疗才是根本。

Objective To discuss the clinical characteristics, location and treatment methods for delitescence rhinorrhagia. Methods 134 cases of such patient from 2001 to 2006 were underwent the exploration with nasal endoscope and bipolar coagulator under local anesthesia and the etiology was tried to be found. Results There were 132 eases successfully （98.5%） and 2 cases failed due to carcinoma or angioma of maxillary sinus who were performed other operation. The hemorrhage location in frequency was post segment of lower nasal duct, inferior and posterior of septum, superior of back nose and anterior and nasal duct. Conclusion This disease could be treated under nasal endoscope with definite procedure and bipolar coagulator should micro - invasive and effect. The most important thing should find the reason of hemorrhage.