摘要
目的:探讨应用鼻内镜行蝶腭动脉电凝术治疗顽固性鼻出血的方法与疗效。方法:对20例顽固性鼻出血患者于全身麻醉后鼻内镜下,根据解剖标志,于中鼻甲后端区域寻找到蝶腭孔,充分游离其中的蝶腭动脉,用双极电凝烧灼后切断,局部黏膜复位后小块膨胀海绵压迫。结果:随访5～20个月,平均10个月。全部患者无再次出血,1例发生鼻腔轻度粘连。结论:鼻内镜下蝶腭动脉电凝术治疗顽固性鼻出血疗效确切,手术微创,是治疗顽固性鼻出血的可靠方法。
Objective： To investigate the methodology and efficacy of endoscopic sphenopalatine artery diathermy in management of refractory epistaxis. Method：Twenty patients with severe intractable posterior epistaxis, who had underwent various procedures like nasal packing , electro- or chemical cautery or others and still exaeer bated, were subjected to this study. Under general anesthesia, according to the endoscopic anatomy of the spheno palatine foramen, the sphenopalatine artery was identified under the posterior tip of the middle turbinate. After the pedicle of the artery was delineated ,a bipolar cauterized the artery and transected it. Result：Twenty patients have been followed up for 5 to 20 months with an average of 10 months. No patients suffered recurrent epistaxis during the period. Only 1 patients in this series reported minor nasal adhesion. Conclusion .. Diathermy of sphenopalatine artery, as a purely endonasal procedure, is an effective and microinvasive means of achieving long-term control of re fractory epistaxis. It has few complications associated with other forms of arterial ligation.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2009年第8期343-345,共3页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
鼻出血
内镜
蝶腭动脉
电凝术
epistaxis
endoscopy
sphenopalatine artery
diathermy
