鼻内镜下低温等离子治疗难治性鼻出血95例临床分析  

Clinical Analysis of 95 Cases of Intractable Epistaxis Treated by Low-temperature Plasma Under Nasal Endoscope

作　　者：杜聃[1] 

机构地区：[1]四川省宜宾市第二人民医院耳鼻咽喉科,四川宜宾644000

出　　处：《中国伤残医学》2014年第7期9-10,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨鼻内镜下低温等离子治疗难治性鼻出血的临床应用效果。方法:回顾性分析95例难治性鼻出血患者的鼻内镜下低温等离子治疗的临床资料。结果:95例鼻出血患者发生于嗅裂区48例,下鼻道穹隆部21例,鼻中隔中后段上部17例,中鼻道5例,鼻中隔中后段下部2例,鼻咽部2例.所有病例均治愈。随访3月,4例复发,再次鼻内镜下止血、治愈。结论:鼻内镜下低温等离子止血是治疗难治性鼻出血的可靠方法,具有操作简单、实用、并发症少、费用低,治疗时间短等优点。可作为治疗难治性鼻出血的首选治疗方法之一。Objective： To discuss the clinical effects of intractable epistaxis treated by low - temperature plasma under nasal endo- scope. Methods： The clinical data of 95 cases of intractable epistaxis treated by low - temperature plasma under nasal endoscope were an- alyzed retrospectively. Results： The positions of bleed were the olfactory cleft bleeding（48 cases）, the inferior nasal meatus fornix （21 ca- ses）, in the posterior segment of upper part of nasal septum （17 cases）, the middle nasal meatus（5 cases）, in the posterior segment of lower part of nasal septum （2 cases）, the nasopharynx（2 cases）. All the patients were cured. 4 cases relapsed were cured by hemostasis under nasal endoscope after 3 months follow - up. Conclusion： The treatment of low - temperature plasma under nasal endoscope is a reli- able ways for intractable epistaxis. Itg a simple, practical and cheaper methods with less complications and short time on treatment. It~ the preferred methods for intractable epistaxis.

关 键 词：鼻内镜 等离子 鼻出血 

分 类 号：R765.23[医药卫生—耳鼻咽喉科]