Volume 19 Issue 7
Jul.  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(7): 1128-1130,1213
HUANG Fang-ming, LI Zhong-wen, LI Dong-hai. Clinical analysis of endoscopic ablation electrode in the treatment of epistaxis[J]. Chinese Journal of General Practice, 2021, 19(7): 1128-1130,1213. doi: 10.16766/j.cnki.issn.1674-4152.002002
Citation: HUANG Fang-ming, LI Zhong-wen, LI Dong-hai. Clinical analysis of endoscopic ablation electrode in the treatment of epistaxis[J]. Chinese Journal of General Practice, 2021, 19(7): 1128-1130,1213. doi: 10.16766/j.cnki.issn.1674-4152.002002
shu

Clinical analysis of endoscopic ablation electrode in the treatment of epistaxis

doi: 10.16766/j.cnki.issn.1674-4152.002002
  • 1.

    Department of Otolaryngology, the Third People's Hospital of Bengbu City, Bengbu, Anhui 233000, China

Funds:

 KJ2018A1004

  • Received Date: 2020-11-04
    Available Online: 2022-02-16
    Abstract
  •   Objective  To explore the new treatment of epistaxis, and to understand the effect of endoscopic ablation electrode haemostasis in clinical treatment, so as to provide basis for further clinical treatment.  Methods  Sixty patients admitted at the Department of Otolaryngology of the Third People's Hospital of Bengbu from January 2016 to December 2019 were selected. The inclusion criteria of outpatients with epistaxis included large amount of epistaxis, no obvious position of epistaxis and ineffective nasal packing. All patients were excluded from nasal diseases and epistaxis caused by systemic diseases. The patients were randomly divided into two groups to compare the haemostatic effect, postoperative complications, time of nasal mucosa loss and time of nasal mucosa recovery.  Results  The effective rate of haemostasis in the ablation electrode group was 93.3%, which was higher than that in the control group (83.3%). The treatment group had 8 cases of postoperative complications, which was significantly lower than that of the control group (21 cases). The time of pseudomembrane loss in the treatment group was (4.64±0.66) days, which was lower than that in the control group[(6.34±0.78) days]. The recovery time of nasal mucosa in the treatment group was (6.66±0.53) days, which was lower than that in the control group[(9.47±0.86) days]. The difference was statistically significant (all P < 0.05).  Conclusion  Ablative electrode haemostasis was superior to bipolar electrocoagulation in controlling epistaxis, reducing complications and promoting functional recovery of nasal mucosa.

     

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