鼻内镜下自发性鼻出血的分型方法及应用

翟翔; 张金玲; 刘钢

doi:10.13201/j.issn.1001-1781.2016.22.011

鼻内镜下自发性鼻出血的分型方法及应用

- 天津市环湖医院耳鼻咽喉头颈外科(天津, 300060)

详细信息

通讯作者: 刘钢,E-mail:liugang60@aliyun.com

中图分类号: R765.9

收稿日期: 2016-08-11

Classification and its application of spontaneous epistaxis under nasal endoscopy

- Department of Otorhinolaryngology-Head and Neck Surgery, Tianjin Huanhu Hospital, Tianjin, 300060, China

More Information

Corresponding author: LIU Gang, E-mail: liugang60@aliyun.com

Received Date: 11 August 2016

摘要

摘要: 目的:依据自发性鼻出血患者在鼻内镜下所见的出血部位形态和特点进行分型,探讨该分型方法的临床应用效果。方法:以2015-02-2016-06期间收治的125例自发性鼻出血患者为研究对象,依据不同出血点在内镜下的表现进行分型,其中动脉瘤样出血93例,黏膜下出血31例,不能明确分型1例。依据不同类型鼻出血的特点进行内镜下止血,采集并保留内镜图像进行对比分析。结果:124例患者内镜止血成功;1例内镜止血未发现明显出血点,使用碘仿纱条填塞1周后治愈。结论:对于自发性鼻出血,使用该种分型方法和对应的止血措施可以有效提高止血的成功率,减少出血并发症的发生。
- 内镜术 /
- 鼻出血 /
- 手术
Abstract: Objective: Classify spontaneous epistaxis according to bleeding morhology and characteristic saw under nasal endoscopy,in order to investigate the clinical application of this classification.Method: Retrospectively analyze 125 cases with spontaneous epistaxis treated by electric coagulation hemostasis in our hospital from February 2015 to June 2016.According to performances of different sites under endoscopy,93 cases of spontaneous epistaxis are like aneurysm,31 patients with submucosal hemorrhage, and 1 case is not clear. Take endoscopic hemostatic according to the characteristics of the different types of spontaneous epistaxis,then collect and keep endoscopic images, and have conducted analysis.Result: One hundred and twenty-four cases of patients were cured with endoscopic hemostasis, 1 case of endoscopic hemostatic found no obvious bleeder, and he was cured with iodoform gauze tamponaded in his nose after 1 week.Conclusion: For spontaneous epistaxis, this classification and the corresponding hemostatic measures can effectively improve the success rate of hemostasis, and reduce the likelihood of bleeding complications.
- endoscopy /
- epistaxis /
- surgery

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参考文献(9)

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