摘要
目的 :探讨顽固性鼻出血的临床处理思路及治疗步骤。方法与结果 :回顾性分析 171例顽固性鼻出血患者的临床资料。针对出血病因采用阶梯式治疗 :第一方案 :出血点明确者 ,采用鼻中隔偏曲矫正术、鼻腔微波热凝术治疗 ,治愈率分别为 87.2 0 %、91.2 5 % ;第二方案 :上述方法治疗无效或出血凶猛、出血部位隐蔽者 ,采用DSA、颈外动脉结扎术及筛动脉夹闭术治疗 ,治愈率分别为 90 %、10 0 %、10 0 %。结论 :采用两个方案阶梯式治疗顽固性鼻出血思路清晰 ,疗效满意。
Objective:To investigate the clinical treatment consideration and the therapic procedure.Method:We analyze the clinical data of 171 cases of obstinate epistaxis in recent years,mainly the pathogeny, treatment consideration and therapic procedure.Result:Were two steps were selected to the therapeutics according to different causations: step one, using the methods including nasal septum rectification, nasal cavity microwave cauterization, the curative ratio were 87.20%, 91.25% respectively; step two, using the methods including DSA(digital subtraction angiography),ligation of the external carotid artery, arteria ethmoidalis clipping, the curative ratio were 90%,100%,100% respectively.Conclusion:The thought of taking two steps methods to treat the obstinate epistaxis is very clear, and the curative effect is satisfactory as well.
出处
《临床耳鼻咽喉科杂志》
CSCD
北大核心
2004年第11期660-661,共2页
Journal of Clinical Otorhinolaryngology
关键词
鼻出血
治疗
Epistaxis
Therapic procedure
