内镜下减血手术治疗鼻科疾病的可行性探讨  

A preliminary study of reducing bleeding procedure during endoscopic sinus surgery

作　　者：孙树岩[1] 张志明[1] 吴昌竹[1] 宋伟[1] 

机构地区：[1]解放军第202医院耳鼻咽喉-头颈外科,沈阳110003

出　　处：《临床耳鼻咽喉科杂志》2003年第12期734-735,共2页Journal of Clinical Otorhinolaryngology

摘　　要：目的 :探讨内镜下减血手术治疗鼻科疾病的可行性。方法 :对 5 3例 (86侧 )鼻科疾病患者 ,以双极射频探头凝固消融病变组织和所需切除部位组织边缘 ,以减少术中出血 ,对渗、出血部位凝固止血。结果 :37例(6 9.8% )患者术后鼻腔无需填塞止血 ,术中出血量平均为 39.6 7ml。结论 :内镜下减血手术治疗鼻科疾病 。Objective:To explore the method and the feasibility of reducing bleeding procedure(RBP)during endoscopic sinus surgery.Method:The focuses and tissue being removed in nasal cavity were coagulated by bipolar radiofrequency in order to reduce bleeding during operation in 53 patients with nasal disease.The bleeding places were coagulated in the same way after operation.Result:The nasal cavities without stuffed qauze to control bleeding after operation was in 37 cases ( 69.8 %)of 53 patients operated.The average volume of bleeding during the surgery was 39.67 ml in 37 patients with chronic sinusitis and nasl polyp.Conclusion:The RBP during endoscopic sinus surgery is well worth researching and discussing further.

关 键 词：鼻疾病 鼻内镜 射频消融术 

分 类 号：R765[医药卫生—耳鼻咽喉科]