Wehrli M, Lieberherr U, Valavanis A
Department of ENT, University of Zürich, Switzerland.
Clin Otolaryngol Allied Sci. 1988 Dec;13(6):415-20. doi: 10.1111/j.1365-2273.1988.tb00314.x.
Twenty-eight patients with intractable nose-bleeds were treated with either superselective embolization and/or surgery between 1983 and 1986. The follow-up time ranged between 6 months and 3 years. The results for the 2 groups were similar. The success rate for embolization was 74% and that for surgery 65%. Complications however, were more frequent after embolization, (i.e. facial nerve paralysis, soft tissue necrosis). Surgery is recommended as the treatment of choice in intractable nose-bleeds, until therapeutic embolization techniques have been further refined and the complication rate reduced.
1983年至1986年间，对28例难治性鼻出血患者进行了超选择性栓塞和/或手术治疗。随访时间为6个月至3年。两组结果相似。栓塞治疗的成功率为74%，手术治疗的成功率为65%。然而，栓塞治疗后的并发症更为常见（即面神经麻痹、软组织坏死）。在治疗性栓塞技术进一步完善且并发症发生率降低之前，建议将手术作为难治性鼻出血的首选治疗方法。
