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鼻内镜鼻腔扩容手术在难治性鼻出血治疗中的应用
引用本文:肖路,练状,魏毅玲. 鼻内镜鼻腔扩容手术在难治性鼻出血治疗中的应用[J]. 山东医大基础医学院学报, 2013, 0(6): 59-60
作者姓名:肖路  练状  魏毅玲
作者单位:扬州市第一人民医院耳鼻咽喉头颈外科,江苏扬州225000
摘    要:目的探讨难治性鼻出血的治疗方法。方法对28例难治性鼻出血患者先行鼻内镜鼻腔扩容手术,解除鼻腔结构异常,再寻找出血点,电凝止血。结果25例无复发,无鼻腔粘连等并发症;2例术后2周复查发现鼻中隔与下鼻甲轻度粘连,行粘连松解,随访6个月未见再次粘连,未见出血复发;1例出院后1个月出血复发,再次手术后未再出血,随访6月未见复发。28例均无鼻腔干燥、头痛等并发症。结论鼻内镜鼻腔扩容手术治疗难治性鼻出血效果可靠。

关 键 词:难治性鼻出血  鼻内镜技术  鼻腔扩容手术

Endoscopic nasal dilatancy surgery in treatment of intractable epistaxis.
XIAO Lu,LIAN Zhuang,WEI Yi-ling. Endoscopic nasal dilatancy surgery in treatment of intractable epistaxis.[J]. Journal of Preclinical Medicine College of Shandong Medical University, 2013, 0(6): 59-60
Authors:XIAO Lu  LIAN Zhuang  WEI Yi-ling
Affiliation:. Department of Otorhinolaryngology, Yangzhou First People's Hospital, Yangzhou 225000, Jiangsu, China
Abstract:Objective To investigate the effect of intractable epistaxis. Methods 28 patients with intractable epistaxis were performed endoscopic nasal dilation operation and electric coagulation. Results During a follow-up of 6 months, 25 cases had no recurrence and nasal cavity adhesion; 2 cases had nasal septum and inferior turbinate mild adhesion two weeks later and were cured by lysisadhesions without relapse during a follow-up of six months; 1 case had relapse at one month after leaving hospital and was cured after re-operation without recurrence in a 6 month follow-up. 28 patients had no nasal dryness and headaches. Conclusion Endoscopic nasal dilatancy surgery is reliable for intractable epistaxis.
Keywords:Intractable epistaxis  Endoscopic surgical procedures, operative  Nasal dilatancy surgery
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