鼻内镜下切除鼻腔妊娠期血管瘤的体会

目的探讨鼻内镜下切除鼻腔妊娠期血管瘤的疗效及安全性。方法分析2008年1月—2018年1月北京市仁和医院诊治的5例鼻腔妊娠期血管瘤患者的临床资料，鼻内镜下应用低温等离子射频切除鼻腔妊娠期血管瘤，术中出血1~100 ml，平均出血20 ml，术后观察疗效。结果5例均治愈，术后无出血及并发症，血管瘤均一次性切除，随访1年无复发。结论鼻腔妊娠期血管瘤如果反复出血或出现并发症，宜尽早手术治疗。鼻内镜下应用低温等离子射频切除鼻腔妊娠期血管瘤，具有操作简单、出血少、痛苦小、术后恢复快及微创等优点，是治疗鼻腔妊娠期血管瘤的有效方法，值得临床应用和推广。

Experience of endoscopy resection of hemangioma in pregnancy

ObjectiveTo investigate the efficacy and safety of nasal endoscopic resection of hemangioma in pregnancy.MethodsThe clinical data of 5 cases of nasal hemangioma during pregnancy were analyzed. The 5 patients were diagnosed in Beijing renhe hospital from January 2008 to January 2018,who were resected the nasal hemangioma under endoscopy by low temperature plasma radiofrequency ablation. Intraoperative blood loss 1~100 ml,average 20 ml.Observe the efficacy after operation.ResultsAll the 5 cases were cured without any postoperative bleeding or complications. All the hemangiomas were removed by one resection,and there was no recurrence during the 1 year follow up.ConclusionPregnancy patients with nasal hemangioma should have early surgical treatment if they have repeated epistaxis or complications. Resections of the nasal hemangioma under endoscopy by low temperature plasma radiofrequency ablation have the advantages of simple operation, less bleeding, less pain, quick recovery and minimally invasive. It is an effective method for the treatment of nasal hemangioma in pregnancy, which is worthy of clinical application and promotion.