Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital of Zurich, Switzerland.
Rhinology. 2011 Oct;49(4):474-8. doi: 10.4193/Rhino10.313.
Epistaxis represents one of the most common emergencies in ENT clinics around the world. It creates great physical and emotional stress to the patient as well as a financial burden on health-care systems. A lot of research has been performed with regard to aetiology and possible treatment, however, not much effort has been put into analysing the effectiveness of common treatment forms. It is the objective of this study to clarify which of these treatment forms is reliable.
Retrospective cohort study.
2b.
Between 03/2007 and 04/2008, all epistaxis therapies including relapses and treatment failures at the University Hospital of Zurich have been documented using a computerised questionnaire. Different treatments were compared to each other.
An analysis of 678 interventions in 537 patients was performed with emphasis on failure proportions and time to occurrence. The estimated failure proportions of coagulation in anterior epistaxis accounts for 14%. Successful treatment of epistaxis in posterior bleedings could be achieved in 62% by packing and in 97% by surgery with a statistically significant difference between the respective groups.
Using our treatment options, anterior epistaxis can be cured reliably by cauterisation. Surgical therapies in posterior bleedings are able to successfully salvage failed packing therapies.
鼻出血是世界范围内耳鼻喉科诊所最常见的急症之一。它给患者带来了巨大的身体和情绪压力，也给医疗保健系统带来了经济负担。已经有很多关于病因和可能的治疗方法的研究，但对于分析常见治疗方法的效果并没有太多的努力。本研究的目的是明确这些治疗方法中哪一种是可靠的。
回顾性队列研究。
2b。
在 2007 年 3 月至 2008 年 4 月期间，使用计算机化问卷记录了苏黎世大学医院的所有鼻出血治疗方法，包括复发和治疗失败。不同的治疗方法相互比较。
对 537 例患者的 678 次干预进行了分析，重点分析了失败比例和发生时间。估计在前鼻出血中凝固的失败比例为 14%。通过填塞可以成功治疗后鼻出血的 62%，通过手术可以成功治疗 97%，两组之间存在统计学显著差异。
使用我们的治疗选择，前鼻出血可以通过烧灼可靠地治愈。后鼻出血的手术治疗能够成功挽救填塞治疗失败。
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