CAJ | 학술논문

目的：分析观察鼻内镜下射频及明胶海绵填塞治疗顽固性鼻出血效果。方法：收集鼻出血患者100例，随机分为两组，A组（n=50）采用射频凝固及局部明胶海绵填塞，B组（n=50）采用单纯射频治疗。结果：A组45例一次治愈，4例经再次射频及明胶海绵填塞后出血停止，1例共需3次射频及明胶海绵填塞后方能止血，治愈率达90％。B组20例一次治愈，25例再次出血后改用射频及明胶海绵填塞后出血停止，5例需3次射频及明胶海绵填塞后方能止血，治愈率只有40％。结论：鼻内镜下射频及明胶海绵填塞是治疗顽固性鼻出血的有效方法。
목적：분석관찰비내경하사빈급명효해면전새치료완고성비출혈효과。방법：수집비출혈환자100례，수궤분위량조，A조（n=50）채용사빈응고급국부명효해면전새，B조（n=50）채용단순사빈치료。결과：A조45례일차치유，4례경재차사빈급명효해면전새후출혈정지，1례공수3차사빈급명효해면전새후방능지혈，치유솔체90％。B조20례일차치유，25례재차출혈후개용사빈급명효해면전새후출혈정지，5례수3차사빈급명효해면전새후방능지혈，치유솔지유40％。결론：비내경하사빈급명효해면전새시치료완고성비출혈적유효방법。
Objective To analyze the effect of radiofrequency and gelatin sponge filled treatment of intractable epistaxis under endo-scope. Method 100 patients with epistaxis were collected. They were randomly divided into two groups:radiofrequency and local gelatin sponge filled in group A(n=50),radiofrequency only in group B(n=50). Results 45 cases were cured in group A. The cure rate was 90%. 20 cases were cured in group B. The cure rate was only 40%. Conclusion Radiofrequency and gelatin sponge filled is an effective treatment for intractable epistaxis under endoscope.