ĐÁNH GIÁ HIỆU QUẢ CỦA PHẪU THUẬT NỘI SOI CẦM MÁU MŨI TẠI BỆNH VIỆN TAI MŨI HỌNG TRUNG ƯƠNG

Abstract

Objective: To determine the location, frequency, and clinical morphology of bleeding sites in epistaxis through endoscopic surgery and evaluate the treatment effectiveness of endoscopic surgery to control epistaxis at the National Otorhinolaryngology Hospital. Subject: Patients with primary epistaxis were done endoscopic surgery to control epistaxis at the National Otorhinolaryngology Hospital. Methods: Case series study. Results: Most primary epistaxis occurred in middle-aged people with an average age of onset 49.38 ± 13.97 years and more commonly in men than women with male/female ratio of 2.43/1.21 (43.75%) patients had history of hypertension and cardiovascular diseases. Most patients had unilateral epistaxis, and the percentage of moderate epistaxis was 77%. Bleeding sites detected during endoscopic surgery had many different locations corresponding to the blood supply branches of the anterior ethmoid artery and sphenopalatine artery. 44 (91.7%) of patients did not have recurrence after surgery. Conclusion: Endoscopic surgery helps accurately assess the location of bleeding sites corresponding to the blood supply branches of the nasal artery and is highly effective in controlling epistaxis and reduces the recurrence rate.