鼻内镜下鼻出血的治疗

[目的]探讨鼻出血常见的出血部位及治疗方法,总结鼻内镜下治疗鼻出血的临床经验.[方法]回顾性分析本院1995年1月至2007年12月收治的721例鼻出血的临床资料,全部病例经鼻内镜探查鼻腔,行相应止血治疗.[结果]出血部位依次为:鼻中前下部35.64%(257/721)、下鼻道顶部24.83%(179/721)、嗅裂鼻中隔区13.31%(96/721)、鼻中隔后部10.54%(76/721)、中鼻道内3.88%(28/721)、中道后部2.50%(18/721)、部位不明者9.29%(67/721).全部病例经一次或多次治疗后出血均得到控制,有效率达100%.治疗过程中再次出血者102例,出血部位不明确者高于明确者.[结论]鼻内镜下治疗鼻出血是一种非常有效的治疗方法,其治疗重点是仔细寻找出血部位.力争一次成功.对反复鼻出血,特别是来自嗅裂鼻中部、中鼻道,出血部位不明者,结合中、下鼻甲骨折移位,鼻中隔矫正,彻底开放前后组筛窦更有意义.

Treatment of Epistaxis by Endoscopy

[Objective]To explore the bleeding location and treatment of epistaxis by the way of endoscopy.[Methods]A total of 721 patients who were treated by the way of endoscopy in our hospital were retrospectively analyzed.[Results]The bleeding points were found in the following different sites:anteroinferior part of nasal septum(35.64%,257/721),superior wall of inferior nasal meatus(24.83%,179/721),olfactory cleft of nasal septum(13.31%,96/721),inner of middle nasal meatus(3.88%,28/721),posterosuperior wall of mid...