鼻内镜下双极电凝结合鼻腔填塞治疗难治性鼻出血的疗效分析  

Analysis of Curative Effect of Endoscopic Bipolar Electrocoagulation Combined with Nasal Cavity Packing for Refractory Epistaxis

作　　者：耿琦 张晓凡 GENG Qi;ZHANG Xiao-fan(Department of Otorhinolaryngology,Fukuang General Hospital of Liaoning Health Industry Group,Liaoning Fushun 113008))

机构地区：[1]辽宁省健康产业集团抚矿总医院耳鼻咽喉科,辽宁抚顺113008

出　　处：《中国医疗器械信息》2020年第10期113-114,共2页China Medical Device Information

摘　　要：目的:观察鼻内镜下双极电凝结合鼻腔填塞治疗难治性鼻出血的疗效。方法:选择2017年1月~2018年12月在本院耳鼻咽喉科就诊的难治性鼻出血患者78例作为本次的研究对象,依据治疗方法的不同分为观察组与对照组。对照组患者在鼻腔内采用凡士林纱条进行填塞治疗,观察组采用鼻内镜下双极电凝结合鼻腔填塞治疗。比较两组患者的鼻腔恢复通气时间、鼻腔黏膜恢复时间和鼻出血量。比较两组患者治疗后的一次性治愈率和复发率。结果:观察组与对照组患者的鼻腔恢复通气时间分别为:(3.52±0.59)d vs(6.81±0.63)d,鼻腔黏膜恢复时间分别为(5.03±0.67)d vs(8.63±1.10)d,出血量分别为(38.52±7.33)mL vs(60.74±12.35)mL,观察组鼻腔恢复通气时间与鼻腔黏膜恢复时间均短于对照组,出血量更少,P<0.05,有统计学意义。观察组和对照组患者治疗后的一次性治愈率分别为:97.5%(39/40)vs 76.3%(29/38),复发率分别为:2.5%(1/40)vs 23.7%(9/38),观察组一次性治愈率高于对照组,复发率低,P<0.05,有统计学意义。结论:使用鼻内镜下双极电凝结合鼻腔填塞治疗难治性鼻出血,能缩短鼻腔恢复通气时间和鼻腔黏膜恢复时间,减少鼻出血量,止血效果可观,提高一次性治愈率。Objective:To observe the curative effect of endoscopic bipolar electrocoagulation combined with nasal cavity packing in the treatment of refractory epistaxis.Methods:From January 2017 to December 2018,78 patients with refractory epistaxis who were treated in the otolaryngology department of our hospital were selected as the research object.They were divided into an observation group and a control group according to different treatment methods.The patients in the control group were treated with Vaseline gauze in the nasal cavity,and the observation group was treated with endoscopic bipolar electrocoagulation combined with nasal tamponade.The recovery time of nasal cavity ventilation,the recovery time of nasal mucosa and the amount of nasal bleeding were compared between the two groups.The one-time cure rate and relapse rate of the two groups of patients after treatment were compared.Results:The nasal cavity recovery time of observation group and control group were:(3.52±0.59)d vs(6.81±0.63)d,and the recovery time of nasal mucosa were(5.03±0.67)d vs(8.63±1.10)d,The bleeding volume was(38.52±7.33)mL vs(60.74±12.35)mL.The recovery time of nasal cavity ventilation and the recovery time of nasal mucosa in the observation group were shorter than those in the control group,and the bleeding volume was less,P<0.05,which was statistically significant.The one-time cure rates of the observation group and the control group after treatment were:97.5%(39/40)vs 76.3%(29/38),and the recurrence rates were:2.5%(1/40)vs 23.7%(9/38)The one-time cure rate of the observation group was higher than that of the control group,and the recurrence rate was low,P<0.05,which was statistically significant.Conclusion:The use of endoscopic bipolar electrocoagulation combined with nasal tamponade in the treatment of refractory epistaxis can shorten the recovery time of nasal cavity ventilation and recovery time of nasal mucosa,reduce the amount of nasal bleeding,have a significant hemostatic effect,improve the one-time cure rate,and are worth

关 键 词：鼻内镜下双极电凝 鼻腔填塞 难治性鼻出血 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]