内镜下微创治疗隐蔽难治性鼻出血80例疗效分析  

Analyse of 80 cases with microtraumatic treament to hidden stubborn epistaxis under endoscope

作　　者：张华[1] 刘平[1] 牛传贵[1] 

机构地区：[1]山东省滕州市中心人民医院,277500

出　　处：《中国医学创新》2010年第8期64-66,共3页Medical Innovation of China

摘　　要：目的探讨内镜下微创方法诊治隐蔽难治性鼻出血的常见部位、效果。方法回顾性分析笔者所在科室2年来在鼻内镜下治疗的隐蔽难治性鼻出血80例患者的临床资料，鼻内镜下检查，明确出血点后采用鼻内镜下应用物理效应（微波、射频、高频电凝等）止血，并结合微填塞。结果所有患者一次性治愈率达92．5％，二次治愈率达7．5％。随访1～3个月无复发，无并发症发生。结论内镜下微创方法诊治隐蔽难治性鼻出血具有重要意义，临床上值得广泛推广应用。Objective To discuss the common locations and effects of microtraumatic treament of hidden stubborn epistaxis under endoscope. Methods Retrospective analysis of our department for 2 years in the endoscopic treatment of hidden refractory epistaxis in 80 cases, endoscopic examination, and use physical effects （microwave, radiofrequnency, high - frequency electrocoagulation etc. ） to stop bleeding, combined with micro -filling. Results 92. 5% cases were cured for one time. 7.5% cases were cured for two time. There were no reoccurrance in the following 1 -3 months, and no neopathy. Conclusion Microtraumatic treament of hidden stubborn epistaxis under nasal endoscope is effective. It is worth to extending and utilizing in clinical.

关 键 词：鼻内镜 微创 鼻出血 

分 类 号：R765.23[医药卫生—耳鼻咽喉科]