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目的:探讨鼻内窥镜下治疗鼻深部出血的临床效果。方法:鼻深部出血43例于鼻内窥镜下找到出血点后,用YAG激光治疗,并观察疗效。结果:43例中,37例治疗后止血,5例治疗后第1天少许渗血,此后未再出血,1例无效,填塞出血部位后止血,治愈率为97.67%(42/43)。随诊3月余,尿毒症1例治疗后半月又出血,再次治疗后未再复发,其余41例无复发。结论:在鼻内窥镜下寻找出血点并应用YAG激光治疗,视野清楚,定位准确,治疗方便,创伤及痛苦小,疗效好,是治疗鼻深部出血的有效方法。
Objective: To investigate the clinical effect of nasal endoscopic treatment of deep nasal hemorrhage. Methods: Nasal deep hemorrhage in 43 cases of nasal endoscopy to find bleeding points, with YAG laser treatment, and observe the effect. Results: Of the 43 cases, 37 had hemostasis after treatment, 5 had little bleeding on the first day after treatment, no further hemorrhage occurred after this treatment, 1 was ineffective, and hemostasis occurred after filling the bleeding site. The cure rate was 97.67% (42/43) . After more than 3 months of follow-up, one case of uremia hemorrhage after half a month of treatment, no recurrence after treatment again, the remaining 41 cases without recurrence. Conclusion: Finding bleeding spots under nasal endoscopy and using YAG laser treatment have clear vision, accurate positioning, convenient treatment, small trauma and pain, and good curative effect. It is an effective method for the treatment of deep nasal hemorrhage.