원저

난치성 후방 비출혈 환자에서 내시경하 접형구개동맥 소작술과 선택적 동맥 색전술의 비교 분석

정재환1, 김석현1, 문수진1, 홍성룡1, 노환중1, 조규섭1,*
Jae-Hwan Jung1, Seok-Hyun Kim1, Sue-Jean Mun1, Sung-Lyong Hong1, Hwan-Jung Roh1, Kyu-Sup Cho1,*
Author Information & Copyright
1부산대학교 의학전문대학원 이비인후과학교실
1Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University School of Medicine, Busan, Korea
*교신저자: 조규섭, 49241 부산광역시 서구 구덕로 179 부산대학교 의학전문대학원 부산대학교병원 이비인후과 전화: (051) 240-7824·전송: (051) 246-8668·E-mail:choks@pusan.ac.kr

© Copyright 2017 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Mar 08, 2017; Revised: Apr 05, 2017; Accepted: May 11, 2017

Published Online: May 31, 2020

ABSTRACT

Background and Objectives: The purpose of this study was to compare treatment modality of ESPAL and arterial embolization in patients with intractable posterior epistaxis. Subjects and Methods: This study was a retrospective review of 16 patients with intractable posterior epistaxis. Twelve patients were treated with ESPAL and four patients with arterial embolization. Success rates, duration of procedure, hospital stay, hospital cost, postoperative complications were analyzed. Results: Rebleeding occurred in two patients treated with ESPAL. One patient was successfully controlled with reoperation. The other surgical failure was controlled with embolization due to SPA pseudoaneurysm. The success rate of ESPAL and embolization was 83.3% and 100%, respectively. Two of four patients received embolization had pseudoaneurysm in the descending palatine artery. The mean duration of procedure and hospital stay was 82.5 minutes and 8.1 days in ESPAL, but 96.7 minutes and 6.0 days in embolization, respectively. The mean total cost of ESPAL was 3,380,000 won, 4,090,000 won for embolization. There were no major complications in both groups. Conclusions: Both ESAPL and arterial embolization had similar high success rates in controlling intractable posterior epistaxis. However, arterial embolization may be a better initial option in patients suspected of pseudoaneurysm and in surgical failures. (J Clinical Otolaryngol 2017;28-:62-66)

Keywords: 소작술; 색전술; 내시경; 비출혈
Keywords: Electrocauterization; Embolization; Endoscopy; Epistaxis