CAJ | 학술논문

目的：探讨鼻内镜下微波治疗顽固性鼻出血的临床效果。方法所选研究对象为2013年2月~2014年4月本院就诊的104例顽固性鼻出血患者，按照随机数字表法将其分为对照组及研究组各52例，对照组采用填塞止血法，研究组采用鼻内镜下微波治疗，比较两组患者的临床疗效、不良反应发生情况及复发率。结果研究组患者的总有效率(94.23%)明显高于对照组(69.23%)，差异有统计学意义(P<0.05)；研究组的不良反应发生率(9.62%)及复发率(7.69%)明显低于对照组(38.46%、32.69%)，差异有统计学意义(P<0.05)。结论鼻内镜下微波治疗顽固性鼻出血的术“清晰、效果显著，能提高治疗的总有效率，降低复发率及不良反应发生率，改善鼻组织的正常生理功能，可在临床推广应用。
목적：탐토비내경하미파치료완고성비출혈적림상효과。방법소선연구대상위2013년2월~2014년4월본원취진적104례완고성비출혈환자，안조수궤수자표법장기분위대조조급연구조각52례，대조조채용전새지혈법，연구조채용비내경하미파치료，비교량조환자적림상료효、불량반응발생정황급복발솔。결과연구조환자적총유효솔(94.23%)명현고우대조조(69.23%)，차이유통계학의의(P<0.05)；연구조적불량반응발생솔(9.62%)급복발솔(7.69%)명현저우대조조(38.46%、32.69%)，차이유통계학의의(P<0.05)。결론비내경하미파치료완고성비출혈적술“청석、효과현저，능제고치료적총유효솔，강저복발솔급불량반응발생솔，개선비조직적정상생리공능，가재림상추엄응용。
Objective To investigate the clinical effects of nasal endoscopic microwave treatment of intractable epis-taxis. Methods 104 cases of intractable epistaxis were collected as the research object from February 2013 to April 2014 in our hospital,the patients were divided into two groups according to a random number table,there were 52 cases in the control group and 52 cases in the study group,the control group used tamponade method,the study group used endoscopic microwave treatment,the clinical efficacy,adverse events and recurrence rate of two groups were compared. Results The total effective rate in the study group (94.23%) was significantly higher than 69.23% in the control group, the difference was statistically significant (P<0.05),the adverse reaction incidence (9.62%) and relapse rate (7.69%) in the study group were significantly lower than the control group (38.46%,32.69%),the difference was significant (P<0.05). Conclusion Patients with intractable epistaxis by endoscopic microwave treatment have clear surgical field,a significant effect,can improve the overall efficiency of treatment and reduce the recurrence rate and incidence of adverse reactions, so that improve the normal physiological function of the nose organization,can be applied in the clinical.