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目的总结顽固性鼻出血的好发部位及其治疗方法。方法回顾分析经鼻内镜治疗的46例鼻出血患者的临床资料。结果鼻出血好发部位依次为:下鼻道穹窿部12例(26.09%),鼻中隔嗅裂区10例(21.74%),鼻中隔后部9例(19.57%),中鼻道后端7例(15.22%),中鼻甲后端6例(13.04%),2例出血部位不能确定(4.35%)。首次检查发现出血点35例(76.09%),再次检查发现出血点9例(19.57%),其中38例行电凝止血,6例行凡士林油纱条或膨胀海绵定向填塞。2例出血部位不能确定者做后鼻孔栓塞,未再出血。结论应用鼻内镜寻找出血点并进行电凝治疗,具有减轻患者痛苦、操作简单、安全、有效、一次性治愈率高的优势,为临床治疗顽固性鼻出血提供了一种简便有效的方法。
Objective To summarize the predilection sites for intractable epistaxis and its treatment. Methods The clinical data of 46 patients with epistaxis treated by endoscopic treatment were retrospectively analyzed. Results The incidences of bleeding were 12 cases (26.09%) in the inferior nasal passages, 10 cases (21.74%) in the nasal septum, 9 cases (19.57%) in the posterior nasal septum, 7 cases 15.22%), 6 cases of middle turbinate (13.04%), 2 cases of bleeding can not be determined (4.35%). In the first inspection, 35 cases (76.09%) were found to have hemorrhage. In the second inspection, 9 cases (19.57%) were found bleeding. Among them, 38 cases received coagulation - stop bleeding and 6 cases received vaseline gauze or expanded sponge. 2 cases of bleeding can not be determined after the nostril embolism, no further bleeding. Conclusions The use of endoscopic sinus surgery to find the bleeding point and coagulation therapy has the advantages of reducing the patient’s pain, simple operation, safe and effective, and high one-time cure rate, which provides a simple and effective method for clinical treatment of intractable epistaxis.