目的探讨鼻内镜下下鼻甲骨部分切除术,骨折外移术,夹除怒张血管治疗下鼻道出血的有效性。方法对23例下鼻道出血患者行鼻内镜下下鼻甲黏骨膜分离,下鼻甲骨折后部分切除术,夹除怒张血管,局部填塞,观察疗效。结果全部患者经手术治疗后止血满意,3~6d治愈出院,随访1年无复发。结论鼻内镜下黏骨膜分离及下鼻甲骨折部分切除并怒张血管夹除术治疗下鼻道出血是一种有效可靠的方法,高膨胀海绵填塞止血,效果好。 Objective To investigate the effectiveness of nasal endoscopic partial nasotracheal partial surgeries and fracture surgeries in the treatment of lower nasal bleeding after nidus angioplasty. Methods Twenty-three patients with inferior nasal haemorrhage underwent nasal endoscopic turbinate mucoperiosteal detachment. The inferior turbinate fractures were partially resected. Results All patients were satisfied with hemostasis after operation, and were discharged after 3 to 6 days. There was no recurrence after one year of follow-up. Conclusion Nasal endoscopic mucoperiosteal separation and partial removal of inferior turbinate fractures and angioplasty for the treatment of lower nasal bleeding is an effective and reliable method, high swelling sponge packing to stop bleeding, the effect is good.