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目的:探讨难治性鼻出血的临床疗效。方法:回顾性分析本院2009年1~12月就诊的86例难治性鼻出血患者治疗的临床资料。根据治疗方式不同,将患者分为治疗组46例,行鼻内镜下双极电凝治疗;对照组40例,行传统鼻腔填塞治疗,治疗后3个月观察疗效。结果:治疗组总有效率为100%,无无效例数,对照组总有效率为77.5%,无效9例,治疗组与对照组相比差异有统计学意义,P<0.05。结论:鼻内镜下双极电凝治疗难治性鼻出血具有创伤小、出血量小、疗效显著、无复发等特点,值得临床推广应用。
Objective: To investigate the clinical efficacy of intractable epistaxis. Methods: The clinical data of 86 patients with intractable epistaxis treated in our hospital from January to December in 2009 were retrospectively analyzed. According to different treatment methods, the patients were divided into treatment group (n = 46) and endoscopic nasal bipolar coagulation treatment (n = 40). The control group (n = 40) received conventional nasal packing and the effect was observed 3 months after treatment. Results: The total effective rate was 100% in the treatment group, with no ineffective cases, the total effective rate was 77.5% in the control group and 9 cases were ineffective. There was significant difference between the treatment group and the control group (P <0.05). Conclusion: Endoscopic biopolar coagulation in the treatment of intractable epistaxis has the characteristics of less trauma, less bleeding, significant curative effect and no recurrence, which is worthy of clinical application.