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目的探讨顽固性鼻腔出血的出血部位及经鼻窦内窥镜下治疗顽固性鼻腔出血的优越性和实用性。方法对58例顽固性鼻出血患者在表麻或全麻下经鼻窦内窥镜直视下找到出血点,通过高频电凝完成止血治疗。结果 58例中下鼻道出血占52%,嗅裂部出血占36%,中鼻道出血占5%,后鼻孔出血占3%,鼻中隔出血占2%,鼻咽部出血占2%。随访1周以上均无复发。结论鼻腔中后部出血应常规应用鼻内镜下止血治疗。
Objective To investigate the superiority and practicability of hemorrhagic site of intractable nasal bleeding and intranasal endoscopic treatment of intractable nasal bleeding. Methods Fifty-eight patients with intractable epistaxis were found bleeding under direct anesthesia under epidural sinus anesthesia or epidural anesthesia, and hemostasis was achieved by high-frequency electrocoagulation. Results 58 cases of middle and lower nasal bleeding accounted for 52%, olfactory rupture of 36%, 3% of nasal bleeding, posterior nasal bleeding accounted for 3%, 2% nasal septum hemorrhage, nasopharyngeal bleeding accounted for 2%. Follow-up more than 1 week without recurrence. Conclusion Nasal bleeding in the middle and rear should be routinely treated with endoscopic hemostasis.