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目的:探讨鼻内镜下下鼻甲骨部分切除术治疗下鼻道出血的有效性。方法:对21例下鼻道出血患者行鼻内镜下下鼻甲黏骨膜分离、下鼻甲骨骨折后部分切除,局部填塞。术后鼻腔粘连者,分离后放置薄荷石蜡油浸后的明胶海绵,观察疗效。结果:全部患者经过手术填塞后止血满意,3~7 d治愈出院,随访2个月~3年,无复发。结论:鼻内镜下黏骨膜分离及下鼻甲骨部分切除术治疗下鼻道鼻出血是一种有效、可靠的方法。用薄荷石蜡油浸润后的明胶海绵放置隔离预防粘连,简单易耐受,效果好。
Objective: To explore the effectiveness of nasal endoscopic partial nasotomy for the treatment of inferior nasal bleeding. Methods: Twenty - one patients with inferior nasal bleeding were treated with endoscopic turbinate mucoperiosteal septum detachment, partial resection of the inferior turbinate fracture, and local tamponade. Postoperative nasal adhesions were placed after separation of peppermint oil immersed gelatin sponge, observe the effect. Results: All the patients were satisfied with hemostasis after operation packing and were discharged after 3 ~ 7 days. The patients were followed up for 2 months to 3 years without recurrence. Conclusion: Nasal endoscopic mucoperiosteal separation and partial excision of inferior turbinate for the treatment of nasal rhinorrhea is an effective and reliable method. With mint paraffin oil impregnated gelatin sponge placed isolation prevent adhesions, easy to tolerate, the effect is good.