Strutz J, Schumacher M
Department of Otorhinolaryngology, University of Freiburg, West Germany.
Arch Otolaryngol Head Neck Surg. 1990 Jun;116(6):697-9. doi: 10.1001/archotol.1990.01870060055009.
The method of choice for uncontrollable epistaxis that is refractory to anterior and posterior nasal packing is controversial. In a retrospective study, the therapeutic results in 42 patients with uncontrollable epistaxis were reviewed, with special consideration of 11 cases in which the patients received angiography and embolization of branches of the internal maxillary artery. Out of this collective, only one patient received surgery, ie, transantral internal maxillary artery ligation. The results of primary embolization demonstrated the effectiveness and illustrated the potential role of embolizing procedures in uncontrollable epistaxis.
对于经前后鼻孔填塞治疗无效的难治性鼻出血，其首选治疗方法存在争议。在一项回顾性研究中，对42例难治性鼻出血患者的治疗结果进行了回顾，特别关注了其中11例接受上颌内动脉分支血管造影和栓塞治疗的患者。在这组患者中，只有1例患者接受了手术，即经窦内上颌内动脉结扎术。初次栓塞的结果证明了其有效性，并说明了栓塞术在难治性鼻出血中的潜在作用。
