山东大学耳鼻喉眼学报

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难治性鼻动脉出血的诊治

楼正才   

  1. 义乌市中心医院耳鼻咽喉科, 浙江 义乌 322000
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2007-08-24 发布日期:2007-08-24
  • 通讯作者: 楼正才

Transnasal endoscopic management for hidden severe epistaxis

LOU Zheng-cai   

  1. Department of Otolaryngology, Yiwu Central Hospital, Yiwu 322000, Zhejiang, China
  • Received:1900-01-01 Revised:1900-01-01 Online:2007-08-24 Published:2007-08-24
  • Contact: LOU Zheng-cai

摘要: 目的:探讨难治性鼻动脉出血的有效诊治途径。方法:用鼻内镜检查106例难治性鼻动脉出血,部位不明者配合鼻腔异常结构或鼻腔病变处理进一步寻找出血点,找到出血点后行选择性微创治疗。结果:内镜检查一次发现出血点93例(87.74%),内镜下行鼻腔结构或病变处理再次发现出血点11例(10.37%),2例(1.89%)部位不明。106例中,1次治愈90例(84.91%),2次治愈14例(13.20%),3次治愈2例(1.89%)。随访3个月无复发,鼻中隔穿孔1例。结论:难治性鼻动脉出血的诊治应施行个性化治疗,首先在内镜下明确出血点,明确出血点后,选择性微创治疗。

关键词: 鼻出血, 内窥镜检查, 解剖

Abstract: Objective: To explore the effect of endoscopy for hidden severe epistaxis. Methods: One hundred and six patients were examined by endoscopy and treated by selectively minimum invasive surgery. Results: The bleeding points were discovered by one examination in 93 cases (87.74%), by two treatments of the nasal anomalous structure and nasal diseases in 11 cases (10.37%), and were uncertain in 2 cases(1.89%). Ninety cases(84.91% ) were cured by one treatment, 14 cases(13.20% ) by two and 2 cases by three. There was no relapse during a followedup for 3 months after management. One case had nasal septum perforation. Conclusion: Refractory epistaxis should be individually treated: first to be found and second to be treated under endoscopy.

Key words: Epistaxis, Endoscopy, Anatomy

中图分类号: 

  • R765.23
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