鼻内镜鼻腔扩容手术在难治性鼻出血治疗中的应用

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。

Endoscopic nasal dilatancy surgery in treatment of intractable epistaxis.

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.