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目的 :探讨鼻内窥镜下鼻出血的两种治疗方法的疗效 :射频治疗法和止血材料填塞法。方法 :比较分析从1 999年 8月～ 2 0 0 2年 7月经治的 64例鼻出血患者的临床资料。结果 :在鼻内窥镜下以射频治疗鼻出血 ,止血确切 ,免除鼻腔填塞 ,患者无痛苦 ,再出血率 9.37% ;以止血材料填塞治疗鼻出血 ,止血迅速 ,但患者填塞后有头痛及鼻胀感 ,并影响鼻窦通气引流 ,再出血率 31 .2 5 %。结论 :鼻出血的治疗应尽量避免鼻腔填塞 ;鼻内窥镜下射频治疗鼻出血是一种良好的治疗方法 ,值得临床推广应用
Objective: To investigate the efficacy of two treatment methods for nasal hemorrhage under nasal endoscopy: radiofrequency therapy and hemostatic material tamponade. Methods: The clinical data of 64 patients with epistaxis treated from August 1999 to July 2002 were compared and analyzed. Results: Nasal hemorrhage was treated with radiofrequency under nasal endoscopy to stop the nasal bleeding. The patient had no pain and the rate of rebleeding was 9.37%. The hemostatic material was used to treat nasal hemorrhage quickly, but the patient had headache and nasal congestion after packing Swelling, and affect the nasal drainage, rebleeding rate of 31.25%. Conclusion: Nasal bleeding should be avoided as far as possible in the treatment of nasal hemorrhage. Nasal bleeding under nasal endoscopy is a good treatment and is worthy of clinical application