【Medicine therapy 】
The surgical operation cuts off;Super choose artery inside the Han to build a shadow;Bolt to fill Shu;Put to treat
【Basic all say 】
The occurrence takes afferent lump as to much see at the blood vessel lump of nose department, other seldom seen tumors contain the skin cell lump, afferent cortex cell lump, the fiber afferent lump and afferent fiber lump and the blood vessel lymphoid tube lump inside the blood vessel.The afferent lump is congenital benign tumor or afferent Ji type.The nose department afferent lump much occurrence at the nasal cavity inside, with occurrence in separate in the nose is many, may also occurrence at the nose bone and before the nose court and the top Han Dou.
【Diagnose a method 】
Check nasal cavity it is thus clear that the new-born thing of purple red, the lump physical endowment is soft and have compressibility more and defer to sex, the easy issue of blood touch, but don't gradually express.If has polyp after the hair infection, its surface debauched and bad dead and companion.If pathological changes is limited by inside the Dou, the nasal cavity can have no change, past usually don't easily diagnose.Wear to stab the last Han Dou, inside the needle tube can run off blood.The X line even slice of check may have a few following changes:①Nasal cavity and together even increase Gao on the Han Dou and the density of Shai Dou of side, similar burning disease change;②The last Han Dou Dou chamber extends, the density increases Gao and is similar to the bag swollen kind change;③The Dou wall bone substance breaks, similar the malignant tumor change.The afferent lump usually expresses a merger infection, bad dead, the pliers takes to live check organization see often reflection not paroxysm true circumstance, and be easy to result in issue of blood, but small but take the afferent lump of Di can an excision, and do a pathologic slice to confirm.
【Cure measure 】
Surgical operation excision is main treatment means.Can be taken into excision before the nose by bore towards separating the hair thin afferent lump(as well call to separate issue of blood in the nose polyp) or original hair at smaller afferent lump inside the nasal cavity in the nose, .Should be all to cut off the cartilage film that tumor base attaches in the surgical operation, in order to prevent relapse.For more big, to compare with breadth, base and easily bleed of nasal cavity, the paranasal sinus afferent lump, can take off hull surgical operation to take into excision through a noodles central part, or take to carry on another surgical operation, the necessary vogue needs in advance super choose artery inside the Han to build a shadow and bolt to fill Shu, for the purpose of understanding pathological changes scope and decrease Shu in bleed.Put to treat to may also reduce to bleed in the Shu before the Shu, Shu behind put to treat to prevent°from relapsing of effect.
【Cause of disease academic theories 】
The cause of disease of the nose department afferent lump like bottom a few theories:
1.The Pei remnants remaining says that separate afferent lump to fasten the Pei female afferent cell in the nose take place.
2.The chronic burning disease says the polyp is such as the issue of blood, can be taken place to proud flesh organization of blood vessel change sex, as well someone think to fasten polyp to turn round up the Han Dou sponge-like in shape afferent lump, vein Yu Zhi etc. nourishment obstacle to.
3.The external injury says that separate ex- lower part in the nose is easily stimulated by external injury, dry etc., but the hair cell takes care of lump to as well much deliver here place, or has something to do with external injury.
4.Endocrine says that the nasal cavity afferent lump can expect to burst upon or enlarge at the pregnancy, the postnatal period narrows again, and often appears to expect after gestation, probably with at that time blood circulating obstacle or endocrine activity relevant.
5.Real benign tumor.
【The pathology changes 】
The afferent lump presses clinical performance and organization structures characteristic, generally can is divided into thin hair afferent lump, sponge-like in shape afferent lump and Man-like in shape afferent lump is 3 kinds, return another hairiness thin afferent lump as the hybrid type of sponge-like in shape afferent lump.
The afferent lump size is different, can have thin Di or wide radicle.The hair thin afferent lump is smaller but has Di more, the sponge-like in shape afferent lump is bigger but the base is wide.The color is red, purple or black and red and present circular, egg circular or is a mulberry form.The quality is softer but has flexibility and easily bleed.The sponge-like in shape afferent lump quality is soft, condensability, much the occurrence is at natural openings neighborhood and the bottom nose AN of the last Han Dou.The tumor the big can oppress Dou wall, breakage bone substance, invade to close to organ.
【Clinical performance 】
The clinical performance of nasal cavity and the paranasal sinus afferent lump, with course of illness length and pathological changes scope size but difference.The nasal cavity afferent lump mainly carries on sex noses Zu for single side, such as the tumor oppression make medium separate to be partial to a song, then have two the side nose the Zu.Again and again the nose bleed is the outstanding performance of this disease.Bleed quantity the etc. bleed not many can have anemic after the hair.The paranasal sinus afferent lump could have no symptom in early days, along with the pathological changes aggrandizement, can appear nose Zu and nose bleed, or afferent lump forward but is taken off by the ex- nostril, or get into a nose to swallow a department to cause to swallow a drum tube to jam backward.Tumor to compare with the big, , Dou chamber extension, the bone wall is press, absorb, become thin, even break.The tumor outwardly expands, can take place the face Ji type, Tu eye and eyeball to move a , sight decrease, reply to see, headache etc..
The nosebleed takes care of lump
3.11.2009
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