鼻内窥镜下电凝治疗老年顽固性鼻出血疗效观察  

Therapeutic effect of treatment for aged intractable epistaxis using electric coagulation by endoscopy

作　　者：王永生[1] 

机构地区：[1]深圳市第三人民医院耳鼻咽喉科,广东深圳518112

出　　处：《中国现代医生》2013年第24期136-137,139,共3页China Modern Doctor

摘　　要：目的探讨鼻窦内窥镜下电凝治疗老年顽固性鼻出血的应用价值。方法回顾分析72例老年顽固性鼻出血治疗的临床资料,其中经鼻窦内窥镜下电凝治疗42例。结果经鼻窦内窥镜下电凝治疗的42例患者一次性治愈40例,一次性治愈率95.2%;传统填塞方法治疗30例,一次性治愈22例,一次性治愈率73.3%,余8例均经鼻窦内窥镜下电凝治疗治愈。经χ2检验,两种方案治愈率比较差异有统计学意义(χ2=5.31,P=0.02)。结论经鼻窦内窥镜下电凝治疗老年顽固性鼻出血具有视野清楚、止血准确的优点,对正常组织损伤小、操作方便、术后不需填塞鼻腔、患者痛苦小、可重复治疗,值得推广使用。Objective To investigate the significance of treatment for patients with aged intractable epistaxis using electric coagulation by endoscopy. Methods We made a retrospective analysis for 72 cases suffering from aged epis- taxis, among of whom 42 cases were subjected to electric coagulation by endoscopy. Results For 42 patients accepted for treatment of electric coagulation by endoscopy,40 cases recovered after only a single treatment,and the recover rate was 95.2%. For 30 patients accept for traditional plugging treatment,22 cases recoverd after only a single treat- ment and the recover rate was 73.3% ,the remaining 8 cases also accepted for electric coagulation by endoscopy and got better effect. There was significant difference on curing rate between two groups （X2 =5.31 ,P= 0.02）. Conclusion For patients with aged intractable epistaxis,the treatment of electric coagulation by endoscopy was a good choice,be- cause it had clear vision for hematischesis,and little niently and patients suffered from little pain. damage for normal tissue. Moreover,it could be operated conve-

关 键 词：老年 鼻出血 鼻窦内窥镜 电凝 

分 类 号：R765.23[医药卫生—耳鼻咽喉科]