Department of Otolaryngology-Head and Neck Surgery, Shandong Provincial ENT Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China.
Acta Otolaryngol. 2020 Dec;140(12):1028-1031. doi: 10.1080/00016489.2020.1808241. Epub 2020 Aug 30.
The electrical coagulation of sphenopalatine artery(SPA) under nasal endoscopy has gradually become an important surgical intervention for epistaxis.
To investigate the effectiveness and complications of SPA electrocoagulation for epistaxis.
The clinical data of 47 patients undergoing SPA electrocoagulation were analyzed, retrospectively.
Forty-seven patients were enrolled, with a male to female ratio of approximately 3:1. 11of 36 were under 45 years old, 25 of 36were 45 years old and above. Among female patients, one was under 45 years old, and the others were 45 years old and above, but there was no significant difference in gender composition between different age groups ( = 1.069, = .301). All patients were unilateral epistaxis. The effective control rates of epistaxis within 24 h after surgery, early postoperative, and late postoperative were 100%, 100%, and 97.9%, respectively. There were 6 patients with complications, including 3 patients with nasal dryness and ecdysis on the affected side, 2 patients with numbness on upper lip, 1 patient with nasal adhesion and pus on affected side.
Refractory epistaxis has no relationship with age and sex, SPA electrcoagulation can effectively control refractory epistaxis and is an effective surgical method.
鼻内镜下电凝蝶腭动脉（SPA）已逐渐成为治疗鼻出血的重要手术干预措施。
探讨 SPA 电凝治疗鼻出血的有效性和并发症。
回顾性分析 47 例行 SPA 电凝术患者的临床资料。
共纳入 47 例患者，男女比例约为 3:1。36 例中年龄<45 岁者 11 例，年龄≥45 岁者 25 例；女性患者年龄<45 岁者 1 例，年龄≥45 岁者 25 例，不同年龄段性别构成比差异无统计学意义（ = 1.069， = .301）。所有患者均为单侧鼻出血。术后 24 h 内、早期、晚期鼻出血有效控制率分别为 100%、100%、97.9%。术后发生并发症 6 例，其中患侧鼻腔干燥、结痂 3 例，上唇麻木 2 例，患侧鼻腔粘连、积脓 1 例。
难治性鼻出血与年龄和性别无关，SPA 电凝可有效控制难治性鼻出血，是一种有效的手术方法。
