鼻内镜下微填塞治疗隐蔽性鼻出血137例体会  

Micro-packing Via Nasal Endoscopy in Treatment of 137 Cases of Concealed Epistaxis

作　　者：吴世普 WU Shipu(E.N.T.Department,Zhenghe County Hospital,Nanping Fujian 353600,China)

机构地区：[1]政和县医院耳鼻咽喉科,福建南平353600

出　　处：《中国卫生标准管理》2018年第13期48-51,共4页China Health Standard Management

摘　　要：目的对鼻内镜下明胶海绵微填塞治疗隐蔽性鼻出血进行临床经验分析及治疗方法探讨。方法回顾性分析137例隐蔽性鼻出血患者的临床资料,全部病例于鼻内镜下寻找出血点,并用双极电凝后明胶海绵微填塞止血治疗,观察其治疗效果。结果 124例患者找到出血点,13例患者未找到出血点,其中鼻中隔区找到出血点70例,下鼻道区找到出血点49例,中鼻道找到5例,137例患者一次性治愈率达87.6%,二次治愈率达100.0%。结论对于隐蔽性鼻出血,鼻内镜下检查发现其常见出血部位依次是:鼻中隔区,下鼻道区,中鼻道区。鼻内镜下双极电凝加明胶海绵微填塞治疗隐蔽性鼻出血,痛苦少,术后并发症少,恢复快,安全可靠,止血效果好。Objective To explore the clinical experience and methods of treating the concealed epistaxis with gelatine sponge micro-packing via nasal endoscopy. Methods The clinical data of 137 patients with concealed epistaxis were retrospectively analyzed. The bleeding points were saerched for in all patients via nasal endoscopy. After bipolar electrocoagulation, gelatine sponge micro-packing was applied for hemostasis, and the therapeutic effect was observed. Results Bleeding points were found in 124 patients but not found in 13 patients. Among them, 70 bleeding pointswere found in the septum area, 49 in the inferior nasal meatus, and 5 in the middle nasal meatus. For the 137 patients, the one-time cure rate was 87.6%, and the secondary cure rate was 100.0%. Conclusion For concealed epistaxis, it was found via nasal endoscopy that the most common bleeding sites could be listed in order of occurrence as follows： nasal septum, inferior nasal meatus, and middle nasal meatus. The proposed method to treat concealed epistaxis could achieve quick recovery and good hemostasis with less pain and fewer postoperative complications in the patients. It was considered a safe and reliable method that should be widely adopted in the future.

关 键 词：鼻内镜 微填塞 隐蔽性 鼻出血 治疗 体会 

分 类 号：R765[医药卫生—耳鼻咽喉科]