蝶腭动脉结扎术治疗难治性鼻出血的研究进展

Research progress on endoscopic ligature of the sphenopalatine artery for the treatment of refractory epistaxis

摘要:

内镜下行蝶腭动脉结扎术，对保守治疗无效的鼻后端出血是有效且安全的治疗方法。本文对蝶腭动脉结扎术的产生及发展、解剖学基础、手术操作过程、适应证、有效性及并发症等方面进行综述，深入理解蝶腭动脉结扎术治疗难治性鼻出血的解剖基础及临床实践的意义。蝶腭动脉结扎术治疗难治性鼻出血，其理论支持充分，解剖标志相对固定，临床操作简单，效果可靠。可在临床广泛应用。

Abstract:

Endoscopic sphenopalatine artery ligation is effective and safe for the treatment of posterior epistaxis for patients who do not respond to conservative treatment. This article reviews the occurrence,development, anatomical analysis, surgical procedure, indications, effectiveness and complications of sphenopalatine artery ligation, etc. The purpose is to understand the theoretical basis of anatomical analysis and clinical significance of electrocoagulation of sphenopalatine arteries for refractory epistaxis. The electrocoagulation of the sphenopalatine artery for the treatment of refractory epistaxis has sufficient theoretical support, clear anatomical landmarks, simple clinical operation and reliable effect. It can be widely used and popularized in clinic.