Zeng Ruifang, Li Wei, Ai Jingang, Sun Bo, Xu Zi, Gao Ru, Tan Guolin
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2014 Jul;28(14):1047-50.
To investigate the potential risk factors and management of excessive epistaxis after endoscopic endonasal surgery (EES).
Six hundred and forty-one patients who underwent EES in our hospital from December 2011 to December 2012 were reviewed retrospectively. Factors which potentially affect the incidence of excessive epistaxis after EES were analyzed with univariate and multivariate logistic regression model.
The incidence rate of excessive epistaxis after EES was 8.4% in our study. Multivariate logistic regression analysis revealed that history of previous EES, along with other four factors, correlated significantly with the occurrence of excessive epistaxis after EES.
Previous EES, along with other three factors, may increase the chance of excessive epistaxis after EES, while pre-operative corticosteroid therapy may reduce the risk to some extent.
探讨鼻内镜鼻内手术（EES）后鼻出血过多的潜在危险因素及处理方法。
回顾性分析2011年12月至2012年12月在我院接受EES的641例患者。采用单因素和多因素逻辑回归模型分析可能影响EES后鼻出血过多发生率的因素。
在我们的研究中，EES后鼻出血过多的发生率为8.4%。多因素逻辑回归分析显示，既往EES史以及其他四个因素与EES后鼻出血过多的发生显著相关。
既往EES史以及其他三个因素可能增加EES后鼻出血过多的几率，而术前皮质类固醇治疗可能在一定程度上降低风险。
