鼻内镜下不同方法治疗鼻出血的临床分析

目的分析比较内镜下应用不同治疗方法对鼻出血治疗的有效性。方法在鼻内镜下对38例鼻出血患者进行出血点查找并采用双极电凝、半导体激光、低温等离子设备对出血部位进行凝固止血,部分病例辅以微型纱条填塞治疗。结果全部病例术后出血即被控制,3例近期再出血者经再次止血处置后治愈。结论3种止血方法疗效相近,但双极电凝止血方法更为可靠,具有较好的临床实用价值。微型纱条填塞可作为治疗顽固性鼻出血的一个有效的补充方法。

A analytic judgment of endoscopy and control of epistaxis

Objective To analyse and compare the effectiveness of hemostasia for epistaxis by different coagulators under nasal endoscope. Method In all of the 38 cases suffered from epistaxis, the hemorrhagic spots were found out by nasal endoscopy. Hemorrhage were controlled by coagulation using bipolar semiconductor laser or coblator plasma and partly with auxiliary mini-packing. Results All of the epistaxis was controlled by the treatment, and 3 cases of rebound phenomenon were cured eventually. Conclusion The effects of the three coagulation therapies closed to each other, but the bipolar coagulation was considered more reliable. Mini-packing could be an effective supplementary therapeutic measure for the obstinate epistaxis.