鼻内镜结合微波热凝技术治疗顽固性鼻出血112例

Diagnosis and treatment the persistent epistaxis by NSES and microwave coagulation

目的探讨经鼻内镜治疗顽固性鼻出血的临床效果。方法 112例顽固性鼻出血在鼻内窥镜直视下寻找活动性鼻出血点106例,行微波热凝出血点,6例因出血部位不明确采用常规方法止血。结果 106例患者经微波热凝术治疗后均痊愈出院。全部病例随访3～6个月无复发,无并发症发生。结论对于顽固性鼻出血,在鼻内镜下寻找出血点并行微波热凝技术,诊断出血部位明确,疗效确切。

Objective To study the seeking of bleeder and the effect of persistent epistaxis through nasal sinus endoscnpe（NSES）. Methods 112 patients with persistent epistaxis were sought under NSES and treated by microwave coagulation,or packing by Merocel material partly.Results All patients were cured and left the hospital after treated by the microwave coagulation or packing by Merocel material partly.After one-time treatment,103 cases had no breeding,covering 92% of the total.The 3 to 6 months follow-up survey was made on all and no recurrence and complications occurred.Conclusion The persistent epistaxis were often occurred in autumn and winter,and most were the aged.It is accurate in diagnosis,convenient in treatment and good in effect for the patients with persistent epistaxis to be sought nose bleeder through NSES and treated with microwave coagulation or nasal packing partly.