鼻内镜下双极电凝与微波在顽固性鼻出血患者中的疗效及安全性比较  

Comparison of Efficacy and Safety of Bipolar Electrocoagulation and Microwave Under Nasal Endoscope in Patients with Intractable Epistaxis

作　　者：彭冬梅 陈翠芳 刘海森 PENG Dongmei;CHEN Cuifang;LIU Haisen(Qingyuan People’s Hospital,Qingyuan 511500,China)

机构地区：[1]广东省清远市人民医院

出　　处：《中国医学创新》2019年第15期120-123,共4页Medical Innovation of China

摘　　要：目的:比较鼻内镜下双极电凝与微波在顽固性鼻出血患者中的疗效及安全性。方法:选择2016年1月-2018年6月本院62例顽固性鼻出血患者进行临床研究。根据来诊时间排序,单号患者为观察组,双号患者为对照组,各31例。观察组给予鼻内镜下双极电凝治疗,对照组给予鼻内镜下微波治疗。比较两组临床资料、临床疗效、复发情况以及并发症发生情况。结果:观察组止血时间、术中出血量、鼻腔恢复通气时间以及鼻腔黏膜恢复时间均少于对照组,差异均有统计学意义(P<0.05),观察组治疗总有效率为93.55%,明显高于对照组74.19%,差异有统计学意义(P<0.05),观察组复发次数为(1.16±0.31)次,明显低于对照组(1.94±0.46)次,差异有统计学意义(P<0.05),观察组复发率为51.61%,明显低于对照组77.42%,差异有统计学意义(P<0.05),观察组2例发生并发症,发生率为6.45%,明显低于对照组8例(25.81%),差异有统计学意义(P<0.05)。结论:与微波治疗相比,鼻内镜下双极电凝对顽固性鼻出血治疗能够明显提高患者临床疗效、降低复发率和并发症发生率,缩短患者病程,具有更好的临床应用效果。Objective:To compare the efficacy and safety of bipolar electrocoagulation and microwave under nasal endoscopy in patients with intractable epistaxis.Method:62 patients with intractable epistaxis in our hospital from January 2016 to June 2018 were selected for clinical study.According to the order of visiting time,patients with single serial number was observation group and patients with double serial number was control group,31 cases in each group.The observation group was treated with bipolar electrocoagulation under nasal endoscope,the control group was treated with microwave under nasal endoscope.The clinical data,clinical efficacy,recurrence and complications of two groups were compared.Result:The hemostasis time,intraoperative bleeding volume,nasal cavity recovery ventilation time and nasal mucosa recovery time in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).The total effective rate of the observation group was 93.55%,it was significantly higher than 74.19% in the control group,the difference was statistically significant(P<0.05).The recurrence times in the observation group was(1.16±0.31)times,it was significantly lower than(1.94±0.46)times in the control group(P<0.05).The recurrence rate in the observation group was 51.61%,significantly lower than 77.42% in the control group,the difference was statistically significant(P<0.05).A total of 2 cases of complications occurred and the total incidence of complications in the observation group was 6.45%,it was significantly lower than 8 case(25.81%)in the control group,the difference was statistically significant(P<0.05).Conclusion:Compared with microwave therapy,bipolar electrocoagulation under nasal endoscopy can significantly improve the clinical efficacy,reduce the recurrence rate and complication rate,shorten the course of patients with intractable epistaxis,and a has better clinical application effect.

关 键 词：鼻内镜 双极电凝 微波 顽固性鼻出血 

分 类 号：R765.23[医药卫生—耳鼻咽喉科]