CAJ | 학술논문

目的：探讨超选择性颈外动脉分支栓塞术治疗难治性鼻出血的临床疗效。方法选取96例难治性鼻出血患者，随机分为观察组和对照组，对照组采取鼻内镜下鼻腔电凝止血术，观察组采取超选择性颈外动脉分支栓塞术，比较两组患者治疗有效率及复发率。结果对照组治疗总有效率为75.0%，观察组总有效率为97.9%，观察组疗效明显优于对照组（ P <0.05）。观察组复发率明显低于对照组（ P <0.05）。结论采用超选择性颈外动脉分支栓塞术治疗难治性鼻出血可降低复发率，提高疗效，值得临床推广应用。
목적：탐토초선택성경외동맥분지전새술치료난치성비출혈적림상료효。방법선취96례난치성비출혈환자，수궤분위관찰조화대조조，대조조채취비내경하비강전응지혈술，관찰조채취초선택성경외동맥분지전새술，비교량조환자치료유효솔급복발솔。결과대조조치료총유효솔위75.0%，관찰조총유효솔위97.9%，관찰조료효명현우우대조조（ P <0.05）。관찰조복발솔명현저우대조조（ P <0.05）。결론채용초선택성경외동맥분지전새술치료난치성비출혈가강저복발솔，제고료효，치득림상추엄응용。
Objective Toevaluatetheclinicalefficacyofsuper-electivetranscatheterexternalcarotidarterialembolizationinthetreat-mentofintractableepistaxis.Methods 96intractableepistaxispatientswererandomlydividedintotwogroups.Super-electivetranscatheterex-ternal carotid arterial embolization was used in observation group and nasal endoscopic hemostasis was used in control group. The clinical efficacy, andrecurrenceratewerecomparedbetweenthetwogroups.Results Theefficiencyrateofclinicaltreatmentwas97.9%inobservationgroup,as compared with 75. 0% in control group,which showed significant differences between the two groups( P <0. 05). The recurrence rate of observa-tiongroupwassignificantlylowerthanthatofthecontrolgroup.Thedifferencewasstatisticallysignificant(P<0.05).Conclusion Usingsu-per-elective transcatheter external carotid arterial embolization in the treatment of intractable epistaxis can reduce recurrence rate and improve cur-ative effect,worthy of clinical promotion.