顽固性鼻出血96例鼻内窥镜下治疗分析

目的探讨鼻内窥镜治疗顽固性鼻出血的临床作用。方法对96例常规检查未发现出血点，并经过规范的鼻腔填塞未能控制的鼻出血患者，进行鼻内窥镜下止血治疗。结果96例经过治疗后随访3个月，其中87例治愈无复发。结论鼻内窥镜技术对探查鼻腔深部出血点和对出血点进行准确烧灼或填塞具有重要意义，对顽固性鼻出血的治疗有一定的临床作用，可提高鼻出血的治愈率。

Clinical application of nasal endoscope for intractable epistaxis

Objective To investigate the clinical value of nasal endoscope for treating intractable epistaxis. Methods Ninety-six patients with epistaxis were treated with nasal endoscope in whom the bleeding points were not found and the hemorrhage was not controlled with standard nasal packing. Results There were no complications during a followed-up for 3 months after mangagement. Among the 96 cases, bleeding were stopped in 87 cases without recurrence. Conclusion Endoscopy can give direct management for the deeply-sited bleeding points. The method provides an effective and safe way to control intractable expistaxis.