论文部分内容阅读
目的:观察电凝和射频等直接烧灼治疗妊娠期妇女鼻出血的疗效。方法:妊娠期妇女鼻出血192例,采用坐位或半坐位进行渐进性局部麻醉,在鼻内镜或前鼻镜下找出确切出血部位,以电凝、微波或射频直接烧灼出血点,观察治疗1、2、3次效果及不良反应发生情况。结果:1次治愈174例,占90.6%;2次治愈16例,占8.4%;3次治愈2例,占1.0%;总有效率100.0%。不良反应主要是紧张和恐惧。结论:采用鼻内镜或前鼻镜找出出血部位,以电凝、微波或射频直接烧灼出血点是治疗妊娠期妇女鼻出血较为理想的方法。
Objective: To observe the efficacy of direct cautery coagulation and radiofrequency ablation in the treatment of epistaxis in pregnant women. Methods: 192 cases of epistaxis in women during pregnancy were treated with progressive local anesthesia in sitting or semi-sitting position. The exact site of bleeding was found under nasal endoscopy or anterior rhinoscopy. The bleeding points were directly cauterized by electrocoagulation, microwave or radiofrequency. 1,2,3 times the effect and adverse reactions occurred. Results: 174 cases were cured in one time, accounting for 90.6%. Six cases were cured in 16 cases, accounting for 8.4%. Three cases were cured in 2 cases, accounting for 1.0%. The total effective rate was 100.0%. Adverse reactions are mainly nervous and fearful. Conclusion: It is an ideal method to treat epistaxis in gestational women by using nasal endoscopy or anterior rhinoscopy to find out the bleeding site, and direct coagulation, microwave or radiofrequency direct burning bleeding point.