山东大学耳鼻喉眼学报 ›› 2013, Vol. 27 ›› Issue (1): 45-46.doi: 10.6040/j.issn.1673-3770.0.2012.234

• 论著 • 上一篇    下一篇

全麻下鼻内镜治疗老年难治性鼻出血89例临床分析

赵春红,李玉杰   

  1. 郑州大学附属郑州中心医院耳鼻咽喉头颈外科,  郑州 450007
  • 收稿日期:2012-08-02 发布日期:2013-02-16
  • 作者简介:赵春红,主治医师。 E-mail: 79296872@qq.com

Treatment for aging patients with intractable epistaxis by nasal endoscopy under general anesthesia

ZHAO Chun-hong, LI Yu-jie   

  1. Department of Otolaryngology & Head and Neck Surgery, Zhengzhou Central Hospital Affiliated to Zhengzhou University, Zhengzhou 450007, China
  • Received:2012-08-02 Published:2013-02-16

摘要:

目的   观察全麻鼻内镜下电凝结合鼻腔填塞治疗老年难治性鼻出血的临床疗效。方法   将135例老年难治性鼻出血患者分为2组,观察组(89例)行全麻鼻内镜下电凝结合鼻腔填塞治疗,对照组(46例)行常规前后鼻孔填塞。结果   观察组1次治愈86例,2次治愈3例,总有效率100%;对照组1次治愈24例、2次治愈17例,总有效率89.1%。两组差异有统计学意义。结论   全麻鼻内镜下电凝结合鼻腔填塞治疗老年难治性鼻出血安全、有效,值得临床推广。

关键词: 鼻内镜外科手术, 鼻腔填塞, 顽固性鼻出血

Abstract:

Objective   To investigate the curative effect of the treatment by electric coagulation and nasal packing by nasal endoscopy under general anesthesia for aging intractable epistaxis. Methods   135 patients were divided into two groups. The treatment group(89 patients) were treated by electric coagulation and nasal packing by nasal endoscopy under general anesthesia and the control group(46 patients) were treated by routine nasal packing. Results   In the treatment group, 86 patients were cured by one time treatment, 3 by twice, and the total effective rate was 100%. In the control group, 24 patients were cured by one time treatment, 17 by twice, and the total effective rate was 89.1%. Conclusion   Nasal endoscopy under general anesthesia for aging intractable epistaxis is safe and effective, and it is worthy to be extended on clinical.

Key words: Intractable epistaxis, Nasal packing, Nasal endoscopy

中图分类号: 

  • R765.23
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