CAJ | 학술논문

目的：探讨鼻内镜下射频明胶海绵微填塞治疗难治性鼻出血的临床效果。方法选择2006年10月至2013年10月我院难治性鼻出血患者160例并随机均分为两组，观察组采用鼻内镜下射频加明胶海绵微填塞治疗，对照组采用前鼻孔或前后鼻孔填塞治疗。观察两组患者止血成功例数，术后疼痛情况等。结果观察组1次治愈率为98.75%，明显高于对照组的71.25%(P<0.05)。结论鼻内镜下射频明胶海绵微填治疗难治性鼻出血疗效好，损伤和痛苦小，医疗费用较低，值得推广应用。
목적：탐토비내경하사빈명효해면미전새치료난치성비출혈적림상효과。방법선택2006년10월지2013년10월아원난치성비출혈환자160례병수궤균분위량조，관찰조채용비내경하사빈가명효해면미전새치료，대조조채용전비공혹전후비공전새치료。관찰량조환자지혈성공례수，술후동통정황등。결과관찰조1차치유솔위98.75%，명현고우대조조적71.25%(P<0.05)。결론비내경하사빈명효해면미전치료난치성비출혈료효호，손상화통고소，의료비용교저，치득추엄응용。
Objective To explore the clinical efficacy of endoscopic radio frequency (RF) and microinvasive gelatin sponge packing in the treatment of intractable epistaxis. Methods 160 patients with intractable epistaxis in our hospital were randomly divided into two groups, with 80 cases in each group. The control group was treated with packing of anterior nostril or anterior nostril and post nostrils, while the observation group was treated with endoscopic RF and microinvasive gelatin sponge packing. The bleeding situation and postoperative pain were observed. Results The cure rate of first therapy of observation group was 98.75%, significantly higher than 71.25%of control group (P<0.05). Conclusions Endoscopic radio frequency (RF) and microinvasive gelatin sponge packing in the treatment of intractable epistaxis has significant efficacy. It has less damage and pain, and lower medical costs, which is worthy of clinical application.