鼻内镜下微波治疗顽固性鼻出血的临床效果  

Clinical efficacy of nasal endoscopic microwave treatment of intractable epistaxis

作　　者：薛梅[1] 黄员福[1] 江爱珍[1] 刘泳榆 

机构地区：[1]福建省三明市第二医院耳鼻喉科,福建三明366000

出　　处：《中国当代医药》2014年第23期41-42,45,共3页China Modern Medicine

摘　　要：目的：探讨鼻内镜下微波治疗顽固性鼻出血的临床效果。方法所选研究对象为2013年2月～2014年4月本院就诊的104例顽固性鼻出血患者，按照随机数字表法将其分为对照组及研究组各52例，对照组采用填塞止血法，研究组采用鼻内镜下微波治疗，比较两组患者的临床疗效、不良反应发生情况及复发率。结果研究组患者的总有效率（94.23%）明显高于对照组（69.23%），差异有统计学意义（P〈0.05）；研究组的不良反应发生率（9.62%）及复发率（7.69%）明显低于对照组（38.46%、32.69%），差异有统计学意义（P〈0.05）。结论鼻内镜下微波治疗顽固性鼻出血的术“清晰、效果显著，能提高治疗的总有效率，降低复发率及不良反应发生率，改善鼻组织的正常生理功能，可在临床推广应用。Objective To investigate the clinical effects of nasal endoscopic microwave treatment of intractable epistaxis. Methods 104 cases of intractable epistaxis were collected as the research object from February 2013 to April 2014 in our hospital,the patients were divided into two groups according to a random number table,there were 52 cases in the control group and 52 cases in the study group,the control group used tamponade method,the study group used endoscopic microwave treatment,the clinical efficacy,adverse events and recurrence rate of two groups were compared. Results The total effective rate in the study group （94.23%） was significantly higher than 69.23% in the control group, the difference was statistically significant （P〈0.05）,the adverse reaction incidence （9.62%） and relapse rate （7.69%） in the study group were significantly lower than the control group （38.46%,32.69%）,the difference was significant （P〈0.05）. Conclusion Patients with intractable epistaxis by endoscopic microwave treatment have clear surgical field,a significant effect,can improve the overall efficiency of treatment and reduce the recurrence rate and incidence of adverse reactions, so that improve the normal physiological function of the nose organization,can be applied in the clinical.

关 键 词：顽固性鼻出血 鼻内镜 微波 

分 类 号：R765.23[医药卫生—耳鼻咽喉科]