顽固性鼻出血的治疗

Treatment of intractable epistaxis

目的探讨不同治疗方法对顽固性鼻出血的意义。方法224例顽固性鼻出血病例中,50例行颈外动脉结扎,35例行筛动脉结扎,鼻内镜下治疗139例,鼻咽填塞3例。结果224例中,随访3个月,颈外动脉结扎者复发率22.00%,筛动脉结扎者复发率17.14%,鼻内镜下治疗者复发率4.32%。结论应用鼻内镜辅助检查明确出血灶后局部止血效果明显,且复发率低。

Objective To discuss different therapeutic methods of intractable epistaxis. Method Among the 224 cases, 50 cases received ligation of the external carotid artery, 35 cases received ligation of the ethmoidal artery, 139 cases were treated under nasal endoscopy, and 3 cases recevied nasopharyngeal packing. Results During a followed-up of 3 months after management, the recurrent rate of ligation of the external carotid artery was 22%, of hgation of the ethmoidal artery was 17.14%, and of nasal endoscopic surgery was 2.88 %. Conclusion Endoscopy is effective and safe in finding bleeding points and controlling intractable epistaxis.