顽固性鼻出血的治疗

山东大学耳鼻喉眼学报 ›› 2009, Vol. 23 ›› Issue (3): 52-53.

顽固性鼻出血的治疗

李创伟林歆胜姚丹勉杨楚杨冬涛

汕头市中心医院耳鼻咽喉-头颈外科, 广东汕头 515031

收稿日期:2009-04-14 修回日期:2009-05-30 出版日期:2009-06-16 发布日期:2009-06-16
作者简介:李创伟，男，副主任医师，主要从事鼻科疾病的临床研究。Email:stlchw@163.com

Treatment of intractable epistaxis

LI Chuang-Wei, LIN Xin-Qing, TAO Dan-Mian, YANG Chu, YANG Dong-Chao

Department of Otorhinolaryngology & Head and Neck Surgery, Shantou Central Hospital, Shantou 515031, Guangdong, China

Received:2009-04-14 Revised:2009-05-30 Online:2009-06-16 Published:2009-06-16

摘要/Abstract

摘要：

目的探讨不同治疗方法对顽固性鼻出血的意义。方法 224例顽固性鼻出血病例中，50例行颈外动脉结扎，35例行筛动脉结扎，鼻内镜下治疗139例，鼻咽填塞3例。结果 224例中，随访3个月，颈外动脉结扎者复发率22.00%，筛动脉结扎者复发率17.14%，鼻内镜下治疗者复发率4.32%。结论应用鼻内镜辅助检查明确出血灶后局部止血效果明显，且复发率低。

关键词: 鼻出血; 内窥镜检查；治疗结果

Abstract:

Objective To discuss different therapeutic methods of intractable epistaxis. Method Among the 224 cases, 50 cases received ligation of the external carotid artery, 35 cases received ligation of the ethmoidal artery, 139 cases were treated under nasal endoscopy, and 3 cases recevied nasopharyngeal packing. Results During a followedup of 3 months after management, the recurrent rate of ligation of the external carotid artery was 22%, of ligation of the ethmoidal artery was 17.14%, and of nasal endoscopic surgery was 2.88%. Conclusion Endoscopy is effective and safe in finding bleeding points and controlling intractable epistaxis.

Key words: Intractable epistaxis; Endoscopy; Treatment outcome

中图分类号:

R765.23

李创伟林歆胜姚丹勉杨楚杨冬涛. 顽固性鼻出血的治疗[J]. 山东大学耳鼻喉眼学报, 2009, 23(3): 52-53.

LI Chuang-Wei, LIN Xin-Qing, TAO Dan-Mian, YANG Chu, YANG Dong-Chao. Treatment of intractable epistaxis[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2009, 23(3): 52-53.

参考文献

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