鼻内镜鼻腔扩容手术在难治性鼻出血治疗中的应用  

Endoscopic nasal dilatancy surgery in treatment of intractable epistaxis

作　　者：肖路[1] 练状[1] 魏毅玲[1] 

机构地区：[1]扬州市第一人民医院耳鼻咽喉头颈外科,江苏扬州225000

出　　处：《山东大学耳鼻喉眼学报》2013年第6期59-60,共2页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的探讨难治性鼻出血的治疗方法。方法对28例难治性鼻出血患者先行鼻内镜鼻腔扩容手术,解除鼻腔结构异常,再寻找出血点,电凝止血。结果 25例无复发,无鼻腔粘连等并发症;2例术后2周复查发现鼻中隔与下鼻甲轻度粘连,行粘连松解,随访6个月未见再次粘连,未见出血复发;1例出院后1个月出血复发,再次手术后未再出血,随访6月未见复发。28例均无鼻腔干燥、头痛等并发症。结论鼻内镜鼻腔扩容手术治疗难治性鼻出血效果可靠。Objective To investigate the effect of intractable epistaxis. Methods 28 patients with intractable epistaxis were performed endoscopic nasal dilation operation and electric coagulation. Results During a follow-up of 6 months, 25 cases had no recurrence and nasal cavity adhesion; 2 cases had nasal septum and inferior turbinate mild adhesion two weeks later and were cured by lysisadhesions without relapse during a follow-up of six months; 1 case had relapse at one month after leaving hospital and was cured after re-operation without recurrence in a 6 month follow-up. 28 patients had no nasal dryness and headaches. Conclusion Endoscopic nasal dilatancy surgery is reliable for intractable epistaxis.

关 键 词：难治性鼻出血 鼻内镜技术 鼻腔扩容手术 

分 类 号：R765.23[医药卫生—耳鼻咽喉科]