NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ ĐÁNH GIÁ KẾT QUẢ CAN THIỆP NỘI MẠCH ĐIỀU TRỊ CHẢY MÁU MŨI TẠI BỆNH VIỆN ĐA KHOA TRUNG ƯƠNG CẦN THƠ VÀ BỆNH VIỆN ĐA KHOA QUỐC TẾ S.I.S CẦN THƠ NĂM 2022-2024

Abstract

Background: Epistaxis is one of the most common emergencies in the Ear, Nose and Throat specialty but 6-10% of cases requiring treatment. Nowadays, endovascular intervention is being widely applied to accurately diagnose the location of bleeding spots, the characteristics of damaged blood vessels, save the patients from a life-threatening condition. Objectives: To describe the clinical, digital subtraction angiography’ s characteristics and evaluate the results of endovascular intervention for epistaxis. Materials and methods: A descriptive cross-sectional study on 30 cases of epistaxis were doing endovascular intervention at Can Tho Central General Hospital and Can Tho S.I.S International General Hospital from June 2022 to June 2024. Results: Men accounted for the majority of 86.7%, the age group 46-60 was the most common (43.3%). Common causes were including hypertension (50%), idiopathic causes (40%). The DSA features revealed the anatomical lesions in detail with hypervascular (80%), arteriorrhage (33.3%), or pseudoaneurysm (3.3%). The success rates of embolization treatment after 1 week and 1 month were 100% and 96.7%, respectively. Conclusions: Epistaxis commonly occured in men, middle-aged. The common causes of epistaxis were hypertension and idiopathic. DSA helped to locate the precise bleeding spots in many cases, the characteristics of damaged blood vessels and achieved a high success rate with 93.3% of cases that were successful in the first endovascular intervention. 100% of patients was successed after 1 week and 96.7% after 1 month.