目的探讨鼻内镜下低温射频治疗难治性鼻出血的临床治疗效果。方法择2007年3月～2010年3月难治性鼻出血患者62例,将上述患者随机分为两组,观察组和对照组。对照组患者采用前后鼻孔填塞治疗。观察组患者采用鼻内镜下低温射频治疗。两组患者治疗后均给予抗生素抗感染、止血类药物等。观察两组患者止血成功例数;术后疼痛情况等。评定两组患者治疗效果。结果察组治愈率显著高于对照组,差异有统计学意义(P<0.05);观察组复发率显著低于对照组,差异有统计学意义(P<0.05)。结论鼻内镜下低温射频治疗难治性鼻出血临床效果显著,治愈率高,复发率低,对患者影响小,值得借鉴。 Objective To investigate the clinical effect of nasal endoscopic radiofrequency ablation on intractable epistaxis. Methods From March 2007 to March 2010 refractory epistaxis in 62 patients, the above patients were randomly divided into two groups, the observation group and the control group. Patients in the control group received nostril stuffing before and after treatment. The observation group patients underwent nasal endoscopic radiofrequency ablation. After treatment, both groups were given anti-infective antibiotics, hemostatic drugs. Two groups of patients to observe the number of cases of successful hemostasis; postoperative pain and so on. Assessment of two groups of patients treatment. Results The cure rate of the observation group was significantly higher than that of the control group, the difference was statistically significant (P <0.05); the recurrence rate of the observation group was significantly lower than that of the control group, the difference was statistically significant (P <0.05). Conclusion Endoscopic low-temperature radiofrequency treatment of refractory epistaxis has a significant clinical effect, high cure rate, low recurrence rate and little impact on patients, which is worth learning from.