山东大学耳鼻喉眼学报 ›› 2013, Vol. 27 ›› Issue (6): 59-60.doi: 10.6040/j.issn.1673-3770.0.2013.196

• 论著 • 上一篇    下一篇

鼻内镜鼻腔扩容手术在难治性鼻出血治疗中的应用

肖路,练状,魏毅玲   

  1. 扬州市第一人民医院耳鼻咽喉头颈外科, 江苏 扬州 225000
  • 收稿日期:2013-06-28 发布日期:2013-12-16
  • 作者简介:肖路。 Email:twbie3@sohu.com

Endoscopic nasal dilatancy surgery in treatment of intractable  epistaxis

XIAO Lu, LIAN Zhuang, WEI Yi-ling   

  1. Department of Otorhinolaryngology, Yangzhou First People′s Hospital, Yangzhou 225000, Jiangsu, China
  • Received:2013-06-28 Published:2013-12-16

摘要:

目的    探讨难治性鼻出血的治疗方法。方法    对 28例难治性鼻出血患者先行鼻内镜鼻腔扩容手术,解除鼻腔结构异常,再寻找出血点,电凝止血。结果    25例无复发,无鼻腔粘连等并发症;2例术后2周复查发现鼻中隔与下鼻甲轻度粘连,行粘连松解,随访6个月未见再次粘连,未见出血复发;1例出院后1个月出血复发,再次手术后未再出血,随访6月未见复发。28例均无鼻腔干燥、头痛等并发症。结论    鼻内镜鼻腔扩容手术治疗难治性鼻出血效果可靠。

关键词: 鼻内镜技术, 鼻腔扩容手术, 难治性鼻出血

Abstract:

Objective    To investigate the effect of intractable epistaxis. Methods    28 patients with intractable epistaxis were performed endoscopic nasal dilation operation and electric coagulation. Results        During a follow-up of 6 months, 25 cases had no recurrence and nasal cavity adhesion; 2 cases had nasal septum and inferior turbinate mild adhesion two weeks later and  were cured by lysisadhesions without relapse during a follow-up of six months; 1 case had relapse at one month after leaving hospital and was cured after re-operation without recurrence in a 6 month follow-up. 28 patients had no nasal dryness and headaches. Conclusion    Endoscopic nasal dilatancy surgery is reliable for intractable epistaxis.

Key words: Endoscopic surgical procedures, operative, Intractable epistaxis, Nasal dilatancy surgery

中图分类号: 

  • R765.23
[1] 吴彦桥,邸斌,李军,高晓红 . 鼻内镜下难治性鼻出血出血点寻找及止血策略[J]. 山东大学耳鼻喉眼学报, 2013, 27(4): 1-3.
[2] 余鹏举1,许风雷2,江满杰2. 鼻内镜治疗难治性鼻出血121例疗效分析[J]. 山东大学耳鼻喉眼学报, 2013, 27(4): 4-5.
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