目的探讨鼻内镜下难治性鼻出血的诊治价值。方法对临床上一般填塞止血不满意的32例鼻出血患者,通过鼻内窥检查,以双极电凝或射频止血治疗。结果 32例患者均一次性治愈,术后随访观察2个月鼻腔无再出血。结论鼻内镜下止血具有止血迅速、准确、安全有效,并发症少的优点,是一种微创而有效的治疗方法。 Objective To investigate the diagnosis and treatment of intranasal endoscopic refractory nasal hemorrhage. Methods Thirty-two patients with epistaxis who were not satisfied with the general stuffing hemostasis clinically were treated with bipolar coagulation or radiofrequency hemostasis by nasal endoscopy. Results 32 patients were cured at one time. No recurrence of nasal cavity was observed after 2 months. Conclusion Endoscopic hemostasis has the advantages of rapid, accurate, safe and effective hemostasis, less complications and is a minimally invasive and effective treatment.