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目的探讨鼻内窥镜下诊治顽固性鼻出血的方法及适应证。方法应用鼻内窥镜对144例顽固性鼻出血进行探查,发现出血灶并同期进行电凝止血。结果出血部位位于鼻中隔中段32例(其中5例合并黎氏区出血),鼻中隔后段26例,嗅裂区12例,鼻底部12例,中鼻道18例,吴氏静脉丛44例,均在局麻下施行鼻内窥镜下双极电凝止血术,获得满意的止血效果。结论鼻内窥镜对出血部位定位准确,安全有效,创伤小,患者痛苦小,并发症少,而且治疗方便,减少了鼻出血的复发,值得临床推广应用。
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鼻内窥镜下电凝止血法在治疗顽固性鼻出血中的应用
Application of endoscopic electrocoagulation hemostasis in the treatment of intractable epistaxis
微创医学 201003期 页码：218-220
作者机构： 广东省高州市人民医院耳鼻喉科
基金信息： 收稿日期：2010-03-04
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- 英文简介
- 参考文献
0bjecfive To explore methods and indications of endoscopic electrocoagulation hemostasis in the treat· ment of intractable epistaxis．Methods 144 cases of intractable epistaxis were checked with nasal endoscope and performed with electrocoagulation hemostasis once its hemorrhagic focus was detected．Results Hemorrhagic focus was found in middle anasl septum in 32 patients(among which，5 combined with Little"s region bleeding)，in latter anasl septum in 26 pa tients，in olfactory cleft in 12 patients，in nose floor in 12 patients，in middle nasal passage in 18 patients，and in Wub veni· plex in 44 patients．All patients were performed with endoscopic electrocoagulation hemostasis under local anesthesia，and achIieved satisfied hemostasis efect．Conclusion Nasal endoscope Call locate the epistaxis focus precisely．It is shown to be efective，micro．invasive，convenient，with less complication and reoccurrence，worthy of clinical generalization
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