顽固性鼻出血的鼻内镜下微创治疗

Microtraumatic treament of obstinate epistaxis under nasal endoscope

目的:探讨鼻内镜下微创治疗顽固性鼻出血的方法和临床意义。方法:回顾性分析122例顽固性鼻出血患者的临床资料,针对出血情况采用序贯治疗,首先行鼻内镜下检查,明确出血点后在鼻内镜下应用双极电凝止血,上述方法无效者,进行鼻内镜下蝶腭动脉电凝术止血。结果:122例(100.0%)患者全部进行鼻内镜下检查后双极电凝止血,其中31例(25.4%)患者另行鼻内镜下蝶腭动脉电凝术,一次性治愈113例(92.6%),二次治愈9例(7.4%),治愈率为100.0%。结论:鼻内镜下应用双极电凝对顽固性鼻出血进行微创序贯治疗,疗效满意,值得临床推广应用。

Objective：To discuss the method and surgical significance of microtraumatic treament of obstinate epistaxis under nasal endoscope.Methods：The clinical data of 122 cases of patients with obstinate epistaxis were retrospectively analyzed.The sequential therapy was selected to the treatment,first,using the methods including nasendoscopy and bipolar electric coagulation to stop bleeding as the bleeding points were seen clearly,when these methods were ineffective,then used endoscopic electric coagulation of the sphenopalatine artery.Results：122 cases（100.0%） were under nasendoscopy and bipolar electric coagulation,31 cases（25.4%） were under endoscopic electric coagulation of the sphenopalatine artery,113 cases（92.6%） were cheated after 1 time,9 cases（7.4%） were cheated after 2 times.The cure rate was 100.0%.Conclusion：Endoscopic bipolar electric coagulation is a microtraumatic treament of taking sequential therapy methods to treat the obstinate epistaxis,and the curative effect is satisfactory as well.It is worthy of promotion and use in clinic.