摘要
目的寻找一种治疗顽固性鼻出血的安全有效的手术方法。方法对23例顽固性鼻出血患者采用局部麻醉、在鼻内镜下,根据解剖标志,在中鼻甲后端区域寻找到蝶腭孔,充分游离其中的蝶腭动脉,用双极电凝器电凝使之完全闭锁,局部粘骨膜瓣复位后以明胶海绵保护创面。结果所有患者术中寻找血管顺利,术中、术后均无并发症,随访3个月,均无再次出血。结论鼻内镜下蝶腭动脉电凝术治疗顽固性鼻出血疗效确切,手术微创,并发症少,值得临床推广应用。
Objective Looking for a kind of treatment intractable epistaxis safe and effective surgical method.Methods 23 patients with intractable epistaxis,Under local anesthesia,according to the endoscopic anatomy of the sphenopalatine foramen,the sphenopalatine artery was identified under the posterior tip of the middle turbinate.After the pedicle of the artery was delineated,a bipolar cauterized the artery and make it completely atresia,local sticky periosteal flap with gelatin sponge reset after protecting wound.Results All patients in search of vascular smooth,after surgery and surgery,does not have the complication,makes a follow-up visit for 3 months,there was no rebleeding.Conclusion Diathermy of sphenopalatine artery,as a purely endonasal procedure,is an effective and microinvasive means of achieving longterm control of refractory epistaxis.It has few complications,it is worth popularizing.
出处
《四川医学》
CAS
2011年第4期556-558,共3页
Sichuan Medical Journal
关键词
鼻出血
内镜
蝶腭动脉
电凝术
epistaxis
endoscopy
sphenopalatine artery
diathermy
