鼻内镜下射频治疗下鼻道穹隆部出血的临床分析

发布时间：2019-05-16 05:43

【摘要】：目的探讨鼻内镜下射频治疗下鼻道穹隆部出血的临床疗效。方法将2011年11月至2014年11月间收治的182例下鼻道穹隆部位出血患者分为治疗组和对照组,治疗组93例,对照组89例,治疗组进行鼻内镜下射频治疗,对照组进行传统凡士林纱条填塞治疗,对比两组临床疗效。结果治疗组1次治愈90例,治愈率为96.77%;对照组1次治愈45例,1次治愈率为50.56%。治疗组的止血效果显著高于对照组,差异有显著性(P0.05)。随访3个月后,治疗组4例复发,复发率为4.30%;对照组复发16例,复发率为16.85%。治疗组复发率显著低于对照组,差异有显著性(P0.05)。治疗组经治疗后发热、头痛发生率为2.15%,鼻痛发生率为7.53%,创面再出血发生率为9.68%,黏膜糜烂发生率为5.38%;对照组经治疗后发热、头痛发生率为4.49%,鼻痛发生率为17.98%,创面再出血发生率为29.21%,黏膜糜烂发生率为25.84%;对照组不良反应发生率明显高于治疗组,差异有显著性(P0.05)。结论鼻内镜下射频治疗下鼻道穹隆部出血治疗时间短,具有并发症少、复发率低、视野清晰、定位准确、止血迅速、损伤小等优点,其疗效明显优于传统止血疗法,是临床上治疗下鼻道穹隆部出血理想的方法。
[Abstract]:Objective to investigate the clinical effect of radiofrequency therapy under nasal endoscope in the treatment of inferior nasal fornix hemorrhage. Methods 182 patients with hemorrhage in inferior nasal fornix from November 2011 to November 2014 were divided into treatment group (n = 93) and control group (n = 89). The treatment group was treated with endoscopic radiofrequency therapy. The control group was treated with traditional Vaseline gauze filling, and the clinical efficacy of the two groups was compared. Results 90 cases (96.77%) were cured in the treatment group and 50.56% in the control group. The hemostatic effect of the treatment group was significantly higher than that of the control group (P 0.05). After 3 months follow-up, the recurrence rate was 4.30% in the treatment group and 16.85% in the control group. The recurrence rate in the treatment group was significantly lower than that in the control group (P 0.05). In the treatment group, the incidence of fever was 2.15%, the incidence of nasal pain was 7.53%, the incidence of wound rebleeding was 9.68%, and the incidence of mucous erosion was 5.38%. In the control group, the incidence of fever was 4.49%, the incidence of nasal pain was 17.98%, the incidence of wound rebleeding was 29.21%, and the incidence of mucous erosion was 25.84%. The incidence of adverse reactions in the control group was significantly higher than that in the treatment group (P 0.05). Conclusion the treatment time of inferior nasal canal fornix hemorrhage under nasal endoscope is short, the recurrence rate is low, the visual field is clear, the location is accurate, the hemostasis is rapid and the injury is small, and its curative effect is obviously better than that of traditional hemostatic therapy. It is an ideal method for the treatment of hemorrhage in the fornix of inferior nasal canal.
【作者单位】：浙江省杭州市红十字会医院耳鼻咽喉科;
【分类号】：R765.9

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