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目的:通过老年顽固性鼻出血的诊治对鼻腔深部出血采用填塞及射频治疗鼻腔深部出血两种止血方法的比较观察探求最优的止血方法。方法:选取138例患者经鼻内窥镜采用填塞/射频治疗鼻腔深部出血,观察各种方法的疗效。结果:两种治疗效果比较,差异无统计学意义(P>0.05),但填塞患者的痛苦较大,使用射频治疗患者痛苦小,再次出血少。结论:两种止血方法比较各有所长,鼻内镜下射频治疗有一定的优势,诊治老年顽固性鼻出血效果好,患者痛苦小、危险性少,容易接受,临床上值得广泛推广应用。
OBJECTIVE: To compare the two hemostasis methods for nasal deep hemorrhage using padding and radiofrequency treatment of nasal hemorrhage through the diagnosis and treatment of senile intractable nosebleed. Methods: 138 patients were treated with nasal endoscopic tamponade / radiofrequency treatment of deep nasal hemorrhage, observe the efficacy of various methods. Results: There was no significant difference between the two treatment methods (P> 0.05). However, the patients suffering from tamponade were more painful. Patients treated with radiofrequency were less painful and had less bleeding again. Conclusion: The two hemostasis methods have their own advantages and disadvantages. Nasal endoscopic radiofrequency ablation has some advantages. It is effective in diagnosing and treating senile intractable epistaxis. It is less painful, less dangerous and easy to accept. It is worth widely popularizing and applying in clinic.