内镜下双极电凝止血在顽固性鼻出血中的效果及安全性观察

目的：探讨内镜下双极电凝止血在顽固性鼻出血中的效果及安全性。方法：选取2009年9月至2011年7月于本院进行治疗的38例顽固性鼻出血为对照组,采用常规的填塞止血法进行治疗,同期的38例患者为观察组,采用内镜下双极电凝止血法进行治疗,将两组患者的各个部位总有效率、住院时间、随访期间复发率、并发症发生率及治疗前后的生存质量测定量表评分进行比较。结果：观察组的各个部位总有效率均高于对照组,住院时间短于对照组,随访期间复发率及并发症发生率均低于对照组,治疗后2周与4周的生存质量测定量表各指标评分均高于对照组,P均〈0.05,有显著性差异。结论：内镜下双极电凝止血在顽固性鼻出血中的效果及安全性均值得肯定,临床应用价值高。

Observation on the Effect and Safety of Bipolar Coagulation Hemostasis by Endoscope in Patients with Intractable Epistaxis

Objective： To study the effect and safety of bipolar coagulation hemostasis by endoscope in patients with intractable epistaxis.Method：38 patients with intractable epistaxis in our hospital from September 2009 to July 2011 were selected as control group,they were treated with routine nasal packing hemostasis,and 38 patients at the same time were selected as observation group,and they were treated with bipolar coagulation hemostasis by endoscope,then the total effective rate of different sites and total sites,hospitalization time,recurrence rate during the follow up period,incidence of complications and WHO quality of life scale before and after the treatment of two groups were compared.Result：The total effective rate of different sites and total sites of observation group were all higher than those of control group,hospitalization time was shorter than that of control group,recurrence rate during the follow up period and incidence of complications were lower than those of control group,scores of WHO quality of life scale after the treatment at second and forth week were all higher than those of control group,all P〈0.05,there were all significant differences.Conclusion：The effect and safety of bipolar coagulation hemostasis by endoscope in patients with intractable epistaxis is comfirmed,the clinical application value is higher.