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复发性鼻出血患者鼻黏膜曲张血管横断术。一项为期2年的随访研究。

Transection of varicose vessels in the nasal mucosa of patients with recurrent epistaxis. A 2-year follow-up.

作者信息

Beran M, Petruson B

出版信息

Clin Otolaryngol Allied Sci. 1986 Oct;11(5):369-72. doi: 10.1111/j.1365-2273.1986.tb00139.x.

DOI:10.1111/j.1365-2273.1986.tb00139.x
PMID:3780024
Abstract

Twenty-two patients with recurrent nose bleeds and varicose vessels on the nasal septum were subjected to transection of the vessels and followed-up for 2 years. One month after the operation, it was not possible to identify the original vessels. In other locations new varicose vessels began to appear after 1 month, and at the end of the follow-up period were observed on 9 out of 10 operated sides. The transection resulted in an immediate decrease in the frequency of nose bleeds and at the end of the control period 12 (55%) of the patients had had less than 4 bleeds during the previous year in spite of the observed rapid formation of new vessels. Mucosal atrophy with symptoms of increased nasal crusting occurred in 3 patients. Transection of varicose vessels in patients with nose bleeds leads to a decrease in the number of bleeds.

摘要

22例鼻中隔有复发性鼻出血和静脉曲张血管的患者接受了血管横断术,并随访2年。术后1个月,无法识别原来的血管。在其他部位,1个月后开始出现新的静脉曲张血管,在随访期末,10个手术侧中有9个观察到有新的静脉曲张血管。血管横断术使鼻出血频率立即降低,在对照期末,12例(55%)患者在上一年出血少于4次,尽管观察到新血管迅速形成。3例患者出现黏膜萎缩并伴有鼻痂增多的症状。对鼻出血患者进行静脉曲张血管横断术可减少出血次数。

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