严重或顽固性鼻腔出血行鼻内窥镜下微创治疗的疗效分析

Curative Effect of Minimally Invasive Treatment on Serious or Refractory Nasal Bleeding Under Nasal Endoscope

目的:探究严重或顽固性鼻腔出血的治疗方式及疗效分析。方法:对我院收治的120位患有严重或顽固性鼻腔内出血的患者的临床资料进行回顾分析,分为实验组和对照组,其中实验组80例患者患者经鼻内窥镜检查,明确出血点后进行微创治疗;对照组40例患者采用普通的鼻前后填塞的治疗方法治疗,比较两组疗效。所有患者治疗后随访2个月。结果:两组患者均有不同程度的痊愈情况,其中实验组患者创面痊愈率为97.50%,远高于对照组25.00%(P<0.05);实验组治疗总有效率高达100%,而对照组则为70%。结论:鼻内窥镜下微创治疗可局部处理鼻内出血点,作用范围较小,针对性较强,可减轻患者痛苦,提高临床治愈率。

Objective： To retrospectively study the effect of minimally invasive treatment under nasal en- doscopy on serious or refractory nasal bleeding. Methods： A total of 120 cases of serious or re- fractory nasal bleeding received minimally invasive treatment under nasal endoscopy to clear out bleeding points （n= 80, mini-invasive treatment group）, or received ordinary nasal packing he- mostasis （n=40, control group）. Results： All patients recovered in some degree, wound surface cure rate was higher in mini-invasive treatment group than in control group （97. 5% versus 25.00%, P〈0.05）. The overall effective rate in mini-invasive treatment group reached up to 100%, which is significantly higher than 70%in control group. Conclusion： Hemostasis under nasal endoscope is more effective for nasal bleeding with less pain for patients during operation.