【摘 要】
：
目的探讨隐蔽部位鼻出血的有效诊治途径。方法用鼻内镜检查76例隐蔽部位鼻出血,部位不明者配合鼻腔结构处理进一步寻找出血点,找到出血点后行选择性微创治疗。结果内镜检查一
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目的探讨隐蔽部位鼻出血的有效诊治途径。方法用鼻内镜检查76例隐蔽部位鼻出血,部位不明者配合鼻腔结构处理进一步寻找出血点,找到出血点后行选择性微创治疗。结果内镜检查一次发现出血点64例(84%),内镜下行鼻腔异常结构或病变处理再次发现出血点8例(11%),4例(5%)部位不明。76例中1次治愈59例(78%),2次治愈14例(18%),3次治愈3例(4%)。随访3个月无复发,鼻中隔穿孔1例。结论隐蔽部位鼻出血的诊治应首先在内镜下明确出血点,之后选择性微创治疗。
Objective To explore the effective treatment of hidden nose bleeding. Methods Nasal endoscopic examination of 76 cases of concealed nose bleeding, unknown parts with nasal structure to further search for bleeding points to find the bleeding point after selective minimally invasive treatment. Results In the endoscopic examination, 64 cases (84%) of bleeding spots were found. Eight cases (11%) and 4 (5%) of unknown bleeding sites were found after endoscopic nasal abnormalities or lesions. Among the 76 cases, 59 cases (78%) were cured in one time, 14 cases (18%) were cured in 2 cases and 3 cases (4%) were cured in 3 cases. Follow-up 3 months without recurrence, nasal septum perforation in 1 case. Conclusions The diagnosis and treatment of occult nose bleeding should first make clear the bleeding point under the endoscope and then select the minimally invasive treatment.
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