鼻内镜下微波治疗顽固性鼻出血的综合疗效观察

The General Curative Effect of Microwave Treatment on Intractable Epistaxis under Nasal Endoscope

目的探讨鼻内镜下微波治疗顽固性鼻出血的综合疗效。方法选取2008年10月-2010年6月于本院进行治疗的60例顽固性鼻出血患者为研究对象,将其采用随机数字法分为对照组（直视下鼻腔填塞法组）30例和观察组（鼻内镜下微波治疗组）30例,后将两组患者的治疗总有效率、患者满意率、住院时间及治疗前后的凝血纤溶系统各指标进行统计分析及比较。结果经研究发现,观察组治疗总有效率、患者满意率高于对照组,住院时间短于对照组,uPA、uPAR及PT、APTT及TT均低于对照组,FIB高于对照组,P均〈0.05,均有显著性差异。结论鼻内镜下微波治疗顽固性鼻出血的综合疗效优于传统治疗方案,值得临床推广应用。

Objective To explore the general curative effect of microwave treatment on intractable epistaxis under nasal endoscope.Methods 60 cases with intractable epistaxis treated in my hospital from Oct.,2008 to June,2010 were randomly divided into 2 groups： control group（nasal packing under direct vision） and observation group（microwave treatment under nasal endoscope）,30 cases in each;a statistical study was made to the total curative effect rate,the patient＇s satisfaction rate,the length of hospitalization and the index of cruor-fibrinolysis system before and after treatment of the patients in the 2 groups.Result The total effective rate and the patient＇s satisfaction rate of the patients in observation group were higher than those of the patients in control group and their length of hospitalization was shorter;uPA,uPAR,PT,APTT and TT of the patients in observation group were higher than those of the patients in control group（P〈0.05）,the difference was significant.Conclusions The general curative effect of microwave treatment under nasal endoscope is superior to that of traditional treatment,and it is worthy of wide application in clinic.