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上颌动脉结扎术是治疗严重鼻出血方法之一。自1928年Seiffert首倡经上颌窦结扎上颌动脉以来,曾被许多学者采用。1945年DaNis报道的经上颌窦结扎上颌动脉一文中,曾提到一位医生经口腔进路,在上颌结节处切开粘膜,分离找到上颌动脉而结扎之。此后1984年Maceri等报道对难处理的鼻后部出血患者13例,采用了经口腔结扎上颌动脉止血法,获得了满意的效果。国内迄今未见报道。我院自1984年至1986年,通过5例尸解,从口腔内熟悉上颌动脉解剖后,临床应用7例,效果满意,现报道如下:
Maxillary artery ligation is one of the methods for the treatment of severe epistaxis. Since 1928, Seiffert first advocated by the maxillary sinus ligation of the maxillary artery has been adopted by many scholars. DaNis reported in 1945 by the maxillary sinus ligation of the maxillary artery in a paper, had mentioned a doctor via the oral approach, cutting the mucous membrane at the maxillary nodules, separation and found the maxillary artery ligation. Since 1984, Maceri et al reported 13 cases of intranasal hemorrhage refractory to treatment, using oral ligation of the maxillary artery hemostasis, obtained satisfactory results. So far no reports of domestic. Our hospital from 1984 to 1986, through 5 cases of autopsy, from the oral familiar with maxillary artery anatomy, the clinical application of 7 cases, the results are satisfactory, are reported as follows: