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目的探讨难治性鼻出血的治疗方法及临床疗效。方法回顾性分析我院耳鼻喉科2007年7月至2008年12月收治的43例难治性鼻出血患者的临床资料,其中23例经鼻内镜下电凝止血法(治疗组)2,0例采用传统鼻腔填塞压迫止血法(对照组),比较两组患者的临床疗效。结果治疗组患者治愈13例,有效10例,总有效率(100%)显著高于对照组(80.0%)(P<0.05)。结论鼻内镜下电凝止血法镜可准确发现出血部位和局部情况,治疗难治性鼻出血的效果较好,值得临床推广。
Objective To investigate the treatment and clinical efficacy of intractable epistaxis. Methods The clinical data of 43 patients with intractable epistaxis admitted from July 2007 to December 2008 in our hospital were analyzed retrospectively. Among them, 23 patients underwent endoscopic coagulation and hemostasis (treatment group) 2, 0 cases of traditional nasal packing compression hemostasis (control group), the clinical efficacy of the two groups were compared. Results In the treatment group, 13 cases were cured and 10 cases were effective. The total effective rate (100%) was significantly higher than that of the control group (80.0%) (P <0.05). Conclusion Endoscopic coagulation hemostasis mirror can accurately find the bleeding site and local conditions, the treatment of intractable epistaxis is better, worthy of clinical promotion.