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目的探讨鼻内镜下微波治疗顽固性鼻出血的综合疗效。方法选取2008年10月~2010年6月于本院进行治疗的60例顽固性鼻出血患者为研究对象,将其采用随机数字法分为对照组(直视下鼻腔填塞法组)30例和观察组(鼻内镜下微波治疗组)30例,后将两组患者的治疗总有效率、患者满意率、住院时间及治疗前后的凝血纤溶系统各指标进行统计分析及比较。结果经研究发现,观察组治疗总有效率、患者满意率高于对照组,住院时间短于对照组,uPA、uPAR及PT、APTT及TT均低于对照组,FIB高于对照组,P均<0.05,均有显著性差异。结论鼻内镜下微波治疗顽固性鼻出血的综合疗效优于传统治疗方案,值得临床推广应用。
Objective To explore the comprehensive effect of endoscopic microwave treatment of intractable epistaxis. Methods Sixty patients with intractable epistaxis who were treated in our hospital from October 2008 to June 2010 were selected and divided into control group (nostril nasal packing group) 30 cases and control group Observation group (endoscopic microwave treatment group) 30 cases, after the two groups of patients with total effective rate, patient satisfaction, hospital stay and before and after treatment of coagulation and fibrinolysis system were statistically analyzed and compared indicators. Results The study found that the total effective rate of observation group, the patient satisfaction rate was higher than the control group, hospital stay shorter than the control group, uPA, uPAR and PT, APTT and TT were lower than the control group, FIB higher than the control group, P <0.05, there are significant differences. Conclusion The comprehensive effect of endoscopic microwave treatment of intractable epistaxis is better than the traditional treatment, which is worthy of clinical application.