Agreda Beatriz, Urpegui Angel, Ignacio Alfonso José, Valles Héctor
Servicio de Otorrinolaringología, Hospital Clínico Universitario Lozano Blesa, Zaragoza.
Acta Otorrinolaringol Esp. 2011 May-Jun;62(3):194-8. doi: 10.1016/j.otorri.2010.11.005. Epub 2011 Feb 1.
The aim of this study was to evaluate the efficacy of endoscopic ligation of the sphenopalatine artery in the treatment of severe posterior epistaxis.
We have carried out a retrospective study on 50 patients hospitalised with posterior recurrent epistaxis, in whom posterior nasal packing was not effective. All of them underwent surgical treatment, with endoscopic ligation of the sphenopalatine artery to control the epistaxis.
Only seven patients had a new epistaxis after surgery. One of them is being studied for some kind of coagulopathy, another patient was controlled by ligation of the anterior ethmoidal artery and it was necessary to ligate the contralateral sphenopalatine artery in a third patient. The other four patients were controlled with posterior nasal packing and discharged two days after surgery, without any complications.
We believe that endoscopic ligation of the sphenopalatine artery is a safe technique, with fewer complications than other methods such as posterior packing or embolisation.
本研究旨在评估内镜下结扎蝶腭动脉治疗严重鼻后段鼻出血的疗效。
我们对50例因复发性鼻后段鼻出血住院且后鼻孔填塞无效的患者进行了一项回顾性研究。所有患者均接受了手术治疗，通过内镜结扎蝶腭动脉来控制鼻出血。
术后仅有7例患者再次鼻出血。其中1例正在研究是否存在某种凝血功能障碍，另1例通过结扎筛前动脉得以控制，第3例患者则需要结扎对侧蝶腭动脉。其他4例患者通过后鼻孔填塞得以控制，术后两天出院，无任何并发症。
我们认为内镜下结扎蝶腭动脉是一种安全的技术，与后鼻孔填塞或栓塞等其他方法相比，并发症更少。
