鼻内镜下微波与传统疗法治疗顽固性鼻出血的疗效比较

Endoscopic microwave and conventional therapy for intractable epistaxis compared the efficacy

目的：探讨鼻内镜下微波与传统疗法治疗顽固性鼻出血的疗效比较。方法：选择我院2009年3月-2010年1月80例顽固性鼻出血患者作为研究对象，随机分为鼻内镜下微波治疗组与对照组（传统疗法）各40例，观察比较两组的疗效。结果：治疗组有效率为97．5％（39140），对照组有效率为80．0％（32／40），两组总有效率比较差异有显著性（x2=4．763，P〈0．05）．治疗组并发症发生率为10．0％（4／40），对照组并发症发生率为47．5％（19／40），两组47．5％差异有显著性（x2=7．243，P〈0．05）。结论：鼻内镜下微波治疗顽固性鼻出血的疗效优于传统疗法，具有创伤小，疗效好的优点，值得临床推广和应用。

Objective： To investigate the microwave and conventional endoscopic treatment of intractable nasal bleeding more. Methods： 80 patients with intractable epistaxis patients as research subjects were randomly divided into endoscopic microwave therapy group and control group （conventional treatment） of the 40 cases observed were compared efficacy. Results： The effective rate was 97.5% （39/40）, the control group was 80.0% （32/40）, total effective rate was significant difference （x2 = 4.763, P 〈0.05）. The treatment group complication rate was 10.0% （4 / 40）, the control group complication rate wag 47.5% （19/40）, 47.5% difference between the two groups was significant （x2 = 7.243P 〈0.05）. Conclusion： Endoscopic microwave treatment of intractable epistaxis is more effective than conventional therapy with minimal trauma good advantage, worthy to be popularized and applied.