鼻内镜下蝶腭动脉电凝术治疗顽固性鼻出血的效果分析  

Effect analysis of diathermy of the sphenopalatine artery under nasal endoscope on treating intractable epistaxis

作　　者：江泽斌 

机构地区：[1]广东省普宁市人民医院耳鼻喉科,广东普宁515300

出　　处：《中国当代医药》2017年第32期96-98,101,共4页China Modern Medicine

摘　　要：目的探讨鼻内镜下蝶腭动脉电凝术在顽固性鼻出血患者中的应用效果。方法选取2012年6月~2015年5月我院耳鼻喉科收治的102例顽固性鼻出血患者,按治疗方法的不同分为A组(56例)和B组(46例)。A组采用出血点电凝加纱布填塞,B组采用鼻内镜下蝶腭动脉电凝术治疗,比较两组患者的止血时间、止血成功率、复发率、术后通气功能及嗅觉功能以及发症发生率。结果 B组患者的止血时间短于A组,差异有统计学意义(P<0.05)。B组的止血成功率高于A组,差异有统计学意义(P<0.05)。B组的复发率低于A组,差异有统计学意义(P<0.05)。A组的并发症发生率为5.3%,B组的并发症发生率为2.2%,两组比较差异无统计学意义(P>0.05),B组术后的鼻腔嗅觉功能评分、鼻通气总阻力低于A组,差异有统计学意义(P<0.05)。结论鼻内镜下蝶腭动脉电凝术治疗顽固性鼻出血的效果肯定,止血彻底,成功率高,值得临床推广应用。Objective To explore the application effect of diathermy of the sphenopalatine artery under nasal endoscope in the treatment of intractable epistaxis.Methods From June 2012 and May 2015,102 patients with intractable epistaxis treated in our department were selected.According to different therapeutic methods,they were divided into group A （56 cases） and group B （46 cases）.Patients in group A were treated by diathermy combined with gauze packing,Patients in group B were treated by diathermy of the sphenopalatine artery under nasal endoscope.The hemostasis time,success rate of hemostasis,recurrence rate,postoperative ventilation function,olfactory function,and the incidence rate of complications were compared between the two groups.Results The hemostasis time in group B was shorter than that in group A,with significant difference （P〈0.05）.The success rate of hemostasis in group B was higher than that in group A,with significant difference （P〈0.05）.The recurrence rate in group B was lower than that in group A,with significant difference （P〈 0.05）.There was no significant differencein the incidence of complications between the two groups （P〉0.05）.The postoperative nasal olfactory function score,the total resistance of nasal ventilation in group B was lower than that in group A, with significant difference （P〈0.05）.Conclusion Diathermy of the sphenopalatine artery under nasal endoscope in the treatment of intractable epistaxis is definite,which can completely stanch bleeding,with high success rate,it is worthy of clinical application and promotion.

关 键 词：鼻内镜 蝶腭动脉 电凝 顽固性鼻出血 

分 类 号：R765-23[医药卫生—耳鼻咽喉科]