摘要
目的探讨隐蔽部位鼻出血常见的出血部位及疗效分析。方法对70例隐蔽鼻出血患者的出血部位及疗效进行回顾性分析。结果岀血部位为:嗅裂鼻中隔面27例(38.6%);下鼻道后穹窿部19例(27.1%);鼻中隔中后部12例(17.1%);中鼻道后部8例(11.6%);蝶窦前壁1例(1.4%);下鼻道前端1例(1.4%);鼻底部1例(1.4%);吴氏静脉丛1例(1.4%)。70例患者均找到出血点,电凝或局部填塞止血,1次治愈67例,2次治愈3例;总有效率100%,随访2个月无复发。结论鼻内镜技术可准确发现隐蔽性鼻出血的岀血部位,并对岀血部位进行准确电凝或填塞,疗效确切。
Objective To explore common origins of intractable epistaxis, and to assess the effect of electrocoagulation in treatment. Methods The bleeding points, treatment as well as its effects were studied retrospectively in 70 cases with intractable idiopathic epistax-is presenting between July 2011 and December 2012. Patients underwent endoscopic examination and subsequent electrocautery, selective packing. Results The bleeding sources in all patients were found under nasal endoscope in the following different sites：olfactory cleft of nasal septum 27 patients （38.6%）, posterosuperior wall of inferior nasal meatus 19 patients （27.1% ）, middle-poster nasal septum 12 pa-tients （ 17.1% ）, posterosuperior wall of middle nasal meatus 8 patients （ 11.6% ） and other locations 4 patients （ 5.6% ）. Bleeding was successfully controlled by electrocautery or selective packing. Bleeding was stopped after 1 time of treatment in 67 cases, after twice in 3 cases. The total effective rate was 100%. None of the patients had recurrent epistaxis during the two-month follow-up period. Conclusions Thorough endoscopic examination can locate the bleeding sources precisely, and electrocoagulation or local packing is an effective means for treatment of intractable epistaxis.
出处
《安徽医药》
CAS
2013年第9期1544-1545,共2页
Anhui Medical and Pharmaceutical Journal
关键词
鼻出血
内窥镜检查
电凝法
治疗
epistaxis
endoscopy
electrocoagulation
treatment
