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鼻部皮肤、粘膜之血管瘤常见而骨血管瘤罕见。笔者近5年诊治鼻骨及上颌额突骨血管瘤2例,兹报告于下。 例1 男,19岁,1984年2月12日入院。4年前发现右鼻根部肿块,渐长至小枣大,压之微痛。检查右鼻骨部半球性肿块,2.3×1.6cm,质硬,表面皮肤正常(图略),X线鼻骨侧位片见右鼻骨影消失,该处呈半球形隆起,骨质呈蜂窝状,基底不规则,诊为骨血管瘤。局麻下手术切除,见肿块表面光滑,色紫红,质硬,与周围骨质界限清楚,其下为蜂窝状骨组织,侵及右上颌额突及左鼻骨内缘,
Hemangioma of the skin and mucous membranes of the nose is common and rare in bone hemangioma. In the past 5 years, the author has treated 2 cases of nasal bone and maxillofacial hemangiomas, which is reported below. Example 1 Male, 19 years old, admitted to hospital on February 12, 1984. Four years ago, the right nose root mass was found to grow to small jujube, the pressure of the slight pain. Examination of the right nasal bone hemisphere mass, 2.3 × 1.6cm, hard, normal skin surface (figure omitted), X-ray nasal bone lateral film see the disappearance of the right nasal bone shadow, there is a hemispherical uplift, bone was honeycomb, basement Irregular, diagnosed as a bone hemangioma. Surgical resection under local anesthesia showed that the tumor surface was smooth, reddish-brown, hard, with a clear boundary with the surrounding bone, and under it was a honeycomb bone tissue that invaded the right maxilla frontal process and the inner margin of the left nasal bone.