鼻内镜下治疗鼻出血的临床分析

Endoscopic treatment of nasal hemorrhage

目的:探讨采用在鼻内镜下等离子电凝止血在治疗难治性鼻出血的应用及临床疗效观察。方法:对本科在2005～2009年临床上采用一般填塞止血疗效不满意的50例难治性鼻出血患者采用鼻内镜下等离子电凝止血治疗。结果:在所有50例患者中45例一次性治愈,5例在第1次治疗后1～2周内经第2次治疗达到治愈。结论:在鼻内镜下等离子点凝止血具有视野清晰,解剖结构清楚准确,止血迅速准确、安全有效,而且等离子止血对出血点周围组织损伤轻,损伤范围小,并发症少等优点。

Objective： To explore the use of nasal endoscopy in the plasma coagulation in the treatment of refractory epistaxis application and clinical effect.Methods： In 2005 to 2009,undergraduate clinical efficacy were not satisfied with the general packing to stop bleeding,50 patients with refractory epistaxis by endoscopic plasma coagulation treatment.Results： In all 50 cases in 45 patients with one-time cure,1 in 5 cases in 1 to 2 weeks after treatment by the 2nd treatment to cure.Conclusion： Endoscopic hemostasis of plasma with a clear view point,clear and precise anatomy,bleeding quickly and accurately,safely and effectively,and the plasma surrounding the bleeding point bleeding of the tissue damage,damage range of small less complications.