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  本文關鍵詞：鼻內(nèi)鏡治療難治性鼻出血的療效分析　出處：《東南國防醫(yī)藥》2016年05期 　論文類型：期刊論文

  更多相關文章： 難治性鼻出血 鼻內(nèi)鏡 電凝

【摘要】：目的分析鼻內(nèi)鏡治療難治性鼻出血的療效,與傳統(tǒng)的填塞止血方法比較。方法回顧性分析2013年1月-2014年12月接受治療的鼻出血患者79例的臨床資料。比較鼻內(nèi)鏡止血組(61例)與鼻腔填塞止血組(18例)的治療效果、疼痛程度、再出血(治療后至隨訪4周結(jié)束)、出血量(治療開始至隨訪4周結(jié)束)、術后鼻腔恢復通氣時間等。結(jié)果鼻內(nèi)鏡組患者治愈率為91.8%,高于鼻腔填塞組(72.2%)。術后4周內(nèi)鼻內(nèi)鏡組患者再出血率為6.5%,低于鼻腔填塞組38.9%。治療中鼻內(nèi)鏡組患者疼痛評分平均值為(3.11±2.72),與鼻腔填塞組(3.74±1.49)比較,差異無統(tǒng)計學意義(P0.05),治療后疼痛評分平均值(1.59±0.48)低于鼻腔填塞組(3.43±1.37)。鼻內(nèi)鏡組總出血量(31.05±12.83)m L低于鼻腔內(nèi)填塞組(51.09±18.32)m L。鼻內(nèi)鏡組術后主觀鼻腔恢復通氣時間(3.1±1.8)d短于鼻腔填塞組(6.4±1.8)d。以上各項指標兩組比較,除治療中患者疼痛評分平均值外,其他指標差異均有有統(tǒng)計學意義(P0.01)。結(jié)論鼻內(nèi)鏡下電凝止血術操作出血點位置準確,療效可靠,出血量少,疼痛較輕,術后恢復較快,可作為難治性鼻出血的首選治療方法。
[Abstract]:Objective to analyze the curative effect of endoscopic nasal endoscopic treatment for intractable epistaxis and compare with traditional methods of filling hemostasis. Methods the clinical data of 79 patients with nasal bleeding treated in December -2014 January 2013 were analyzed retrospectively. The therapeutic effect, pain degree, rebleeding (after treatment to the end of 4 weeks), bleeding volume (the beginning of treatment to the end of 4 weeks) and the time of nasal ventilation after operation were compared between 61 patients with nasal endoscopy and 18 patients with nasal packing. Results the cure rate of the patients in the nasal endoscopy group was 91.8%, which was higher than that of the nasal cavity filling group (72.2%). The rebleeding rate of the patients in the endoscopic group was 6.5% within 4 weeks after the operation, which was lower than that of the nasal packing group (38.9%). The average score of pain in the treatment group was (3.11 + 2.72), which was not significantly different from that in the nasal packing group (3.74 + 1.49) (P0.05). The average score of pain score after treatment was (1.59 + 0.48) lower than that in the nasal packing group (3.43 + 1.37). The total amount of bleeding (31.05 + 12.83) m L in the nasal endoscopy group was lower than that in the nasal packing group (51.09 + 18.32) m L. The duration of the subjective nasal cavity recovery (3.1 + 1.8) d was shorter than that of the nasal packing group (6.4 + 1.8) d after the endoscopic sinus surgery. The two groups of the above indexes, except the average value of pain score in the treatment of the patients, the difference of other indexes had statistical significance (P0.01). Conclusion endoscopic hemostasis is accurate and reliable, with less bleeding, less pain and faster postoperative recovery. It can be used as the first choice for intractable epistaxis.
【作者單位】： 南京軍區(qū)南京總醫(yī)院湯山療養(yǎng)院耳鼻咽喉-頭頸外科;南京軍區(qū)南京總醫(yī)院耳鼻咽喉-頭頸外科;
【分類號】：R765.23
【正文快照】： 鼻出血(epistaxis)是耳鼻喉科常見的癥狀,可由鼻部本身的疾病引起,如鼻中隔偏曲、內(nèi)翻性乳頭狀瘤[1]、鼻腔惡性腫瘤,也可繼發(fā)于全身性疾病[2]。一般鼻出血為單側(cè)。出血量多少不一,輕者僅呈現(xiàn)為涕中帶血,嚴重者可引起失血性休克,可表現(xiàn)為間歇性出血,也可為持續(xù)性出血。反復鼻出

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本文編號：1343847