鼻窦内窥镜下双极电凝治疗鼻腔后部出血的疗效分析  

Therapeutic Effect of Bipolar Electrocoagulation for Sinus Endoscopic Hemorrhage

作　　者：李桂珠[1] LI Gui-zhu(Department of Otolaryngology,Affiliated Hospital of Jiangsu University,Zhenjiang,Jiangsu Province,212001 China)

机构地区：[1]江苏大学附属医院耳鼻喉科,江苏镇江212001

出　　处：《世界复合医学》2018年第4期4-7,共4页World Journal of Complex Medicine

摘　　要：目的探讨鼻窦内窥镜下双极电凝治疗鼻腔后部出血的疗效观察。方法选取该院耳鼻喉科2013年5月—2018年4月间收治的因鼻腔后部出血而来该院耳鼻喉科进行就诊的患者70例,将其随机分组,给予鼻窦内窥镜下双极电凝治疗为观察组,给予常规无菌凡士林纱条填塞鼻腔止血治疗为对照组,每组35例患者。结果观察组的临床治愈率(94.29%)以及临床治疗总有效率(100.00%)均高于对照组,且差异有统计学意义(χ~2=10.266 7、5.384 6,P<0.05);观察组的临床治疗疼痛程度0级、1～3级、4～6级、7～10级以及治疗疼痛率均低于对照组,且差异有统计学意义(χ~2=29.615 4、4.200 0、11.666 7、6.562 5、21.477 3,P<0.05)。对照组的临床治疗后并发症的发生率鼻窦炎5例(14.29%)、咽鼓管功能异常6例(17.14%)、泪囊炎4例(11.43%)、鼻腔粘连7例(20.00%)、总并发症22例(62.86%)均高于观察组,且差异有统计学意义(χ~2=5.384 6、6.562 5、4.242 4、7.777 8、32.0833,P<0.05)。结论鼻窦内窥镜观察下双极电凝治疗鼻腔后部出血的方法与传统的填塞法相比,具有止血成功率高、患者疼痛程度肖及并发症发生率较小的特点,该方案值得临床推广。Objective To investigate the efficacy of bipolar electrocoagulation for the treatment of posterior nasal hemorrhage under sinus endoscopy. Methods Seventy patients who underwent ENT in the otolaryngology department of the hospital from May 2013 to April2018 were enrolled in this study. They were randomly assigned to the sinus endoscope. Bipolar electrocoagulation was performed in the observation group, and conventional sterile Vaseline gauze was used to fill the nasal cavity for hemostasis treatment as a control group, with 35 patients in each group. Results The clinical cure rate(94.29%) and the total effective rate of clinical treatment(100.00%) were higher in the observation group than in the control group, and the difference was statistically significant( χ~2=10.266 7,5.384 6, P<0.05). The clinical treatment pain level of the observation group was 0, 1-3, 4-6, 7-10 and the pain rate was lower than the control group, and the difference was statistically significant(χ~2=29.615 4, 4.200 0, 11.666 7, 6.562 5, 21.477 3, P<0.05). The incidence of post-clinical complications in the control group was 5 cases(14.29%), 6 cases of eustachian tube function(17.14%), 4 cases of dacryocystitis(11.43%), and 7 cases of nasal adhesions(20.00%). The total complication was higher in 22 cases(62.86%)than in the observation group, and the difference was statistically significant(χ~2=5.384 6, 6.562 5, 4.242 4, 7.777 8, 32.083 3, P<0.05). Conclusion Bipolar electrocoagulation for the treatment of posterior nasal bleeding under sinus endoscopy has the characteristics of high success rate of hemostasis, poor degree of pain and less complication rate compared with traditional tamponade method, which is worth of promotion and application.

关 键 词：鼻窦内窥镜 双极电凝治疗 鼻腔后部出血 疗效观察 

分 类 号：R765.4[医药卫生—耳鼻咽喉科]