Abstract:ObjectiveTo explore the method and effect of Peng's electrocoagulation under nasal endoscope in the treatment of intractable epistaxis.MethodsA retrospective analysis was performed on 120 patients with intractable epistaxis confirmed by nasal endoscopy, and admitted to the hospital from December 2013 to December 2017. All the 120 patients underwent electrocoagulation and hemostasis with peng's electric knife under nasal endoscopic surveillance, combined with local microtamponade with gelatin sponge. The therapeutic effect was observed by postoperative follow up of 3 months.Results80 cases were cured after once treatment, 16 cases were cured after twice treatment, and 6 cases were cured after nasal septum plasty due to severe deviation of nasal septum. All patients had not complications such as cardiocerebrovascular accident, perforation of nasal septum and nasal adhesion.ConclusionNasal endoscopy examination can accurately locate the bleeding site of refractory epistaxis. Peng's electrocoagulation assisted by nasal endoscopy is effective and safe in the treatment of epistaxis. It has a high cure rate, fewer complications and less pain, especially suitable for elderly patients with systemic diseases. It is worthy of clinical promotion.
