上海交通大学学报（医学版）

上海交通大学学报（医学版） ›› 2017, Vol. 37 ›› Issue (10): 1380-.doi: 10.3969/j.issn.1674-8115.2017.10.014

• 论著（临床研究） • 上一篇    下一篇

冷冻与微波治疗儿童利氏区鼻出血的疗效观察#br#

李慧 1, 2，胡伟琦 2，顾凌澜 2，许伟民 2，李吉平 1   

  1. 1. 上海交通大学 医学院附属仁济医院耳鼻咽喉科，上海 200127；2. 上海市闵行区中心医院耳鼻咽喉科，上海 201199
  • 出版日期:2017-10-28 发布日期:2017-11-01
  • 通讯作者: ?李吉平，电子信箱：drlijiping@163.com
  • 作者简介:李慧（1984—），女，住院医师，本科；电子信箱：lihui1003ent@163.com

Effects of cryotherapy and microwave therapy on Little’s area epistaxis in children#br#

LI Hui1, 2, HU Wei-qi2, GU Ling-lan2, XU Wei-min2, LI Ji-ping1   

  1. 1. Department of Otolaryngology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China; 2. Department of Otolaryngology, Central Hospital of Shanghai Minhang District, Shanghai 201199, China
  • Online:2017-10-28 Published:2017-11-01

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摘要： 目的 · 比较冷冻与微波治疗儿童利氏区特发性鼻腔出血的临床疗效。方法 · 收集 2009 年 7 月—2015 年 7 月上海交通大学医 学院附属仁济医院门诊收治的 675 例儿童利氏区特发性鼻出血患者的资料，分为冷冻治疗组 566 例和微波治疗组 109 例。术中行整体 不适感视觉模拟量表（VAS）评分，术后随访 1 年，比较治愈率。结果 · 冷冻治疗组治愈率为 96.20%，微波治疗组治愈率为 86.67%。 VAS 评分冷冻治疗组优于微波治疗组，2 组比较差异有统计学意义（P=0.000），且冷冻治疗组黏膜恢复良好无瘢痕。结论 · 冷冻治疗 儿童利氏区特发性鼻腔出血安全有效、操作简便，术后黏膜转归良好，能提高手术治愈率，减轻患儿痛苦，经济实用，更易为患儿及 家属所接受。

关键词: 儿童鼻出血, 冷冻治疗, 微波治疗

Abstract:

Objective · To compare the clinical efficacy of cryotherapy and microwave therapy for Little’s area idiopathic epistaxis in children.  Methods · Clinical data of 675 children with idiopathic epistaxis treated in outpatient service of Renji Hospital affiliated to Shanghai Jiao Tong University School of Medicine from July 2009 to July 2015 were collected, who were divided into cryotherapy group (566 cases) and microwave therapy group (109 cases). The overall inadequacy of the patients was evaluated by the visual analogue scale (VAS) in the operation, and then the patients were followed up for one year. The curative rates of the two groups were compared.  Results · The curative rates of cryotherapy group and microwave therapy group were 96.20% and 86.67%, respectively. The VAS score of the cryotherapy group was better than that of the microwave therapy group (P=0.000), and the mucosa of the cryotherapy group recovered well without scars.  Conclusion · The cryotherapy for Little’s area idiopathic epistaxis in children was safe, effective and simple, with the mucosa recovering well postoperatively, which can improve curative rate and reduce patients’ pain. Meanwhile it was more economical, and easier to be accepted by patients and their families.

Key words: children epistaxis, cryotherapy, microwave therapy