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目的探讨鼻内窥镜下等离子热凝治疗隐蔽性鼻出血临床效果。方法对2006年1月至2009年12月濮阳市人民医院收治的203例隐蔽性鼻出血患者进行治疗,对疗效进行综合分析。结果 203例患者中,194例均一次等离子热凝治疗成功,治愈率为95.6%;其余9例术后7d后又发现少量出血,经二次等离子热凝治疗后未再出血。术后1个月,所有患者手术创面基本愈合,未出现并发症。随访6个月,202例患者均不鼻出血复发;1例患者手术后5个月有过一次少量鼻出血。结论经鼻内窥镜下等离子热凝治疗隐蔽性鼻出血,能准确定位出血部位,明显缩短止血时间,减少术中出血量,因此特别适用于老年人、儿童和鼻腔填塞不适应者;具有操作简易、时间短、创伤小,视野宽广、图象清晰,出血部位定位准确,治疗效果良好。
Objective To investigate the clinical effect of plasma coagulation under nasal endoscopy in treatment of latent epistaxis. Methods Totally 203 patients with concealed nosebleed admitted to Puyang People’s Hospital from January 2006 to December 2009 were enrolled in this study. The curative effect was analyzed comprehensively. Results Of the 203 patients, 194 cases were treated with plasma coagulation successfully, the cure rate was 95.6%. The remaining 9 cases were found to have a small amount of bleeding after 7 days and no further bleeding after secondary plasma coagulation therapy. One month after operation, all the patients basically healed wounds, no complications occurred. After 6 months of follow-up, 202 patients had no recurrence of epistaxis; 1 patient had a small amount of epistaxis 5 months after surgery. Conclusions The treatment of latent epistaxis with endoscopic nasal plasmapheresis can accurately locate the bleeding site, shorten the time of hemostasis and reduce the amount of intraoperative blood loss, so it is especially suitable for the elderly, children and nasal packing. Simple, short time, small trauma, wide field of vision, the image is clear, accurate positioning of the bleeding site, the treatment effect is good.