öλÔÓéÀֵǼÈë¿ÚÏÂÔØ

    ÉÏÊö¸÷ÖÖÉø³öÐÔÑ×ÊǸù¾ÝÉø³öÎïµÄÖ÷Òª³É·Ö½øÐзÖÀàµÄ¡£ÓÉÓÚÉø³öÎïÖпÉÒÔÓÐÁ½ÖÖÖ÷Òª³É·Öͬʱ²¢´æ£¬¹ÊÁ½ÖÖ²»Í¬ÀàÐ͵ÄÉø³öÐÔÑ׿ÉÒÔ»ìºÏ´æÔÚ£¬È罬ҺÏËάËØÐÔÑ×£»ÔÚÑ×Ö¢¹ý³ÌÖÐÒ²¿ÉÓÉÒ»ÖÖÀàÐ͵ÄÉø³öÐÔÑ×ת±äΪÁíÒ»ÖÖÀàÐ͵ÄÉø³öÐÔÑ×£¬È罬ҺÐÔÑ×ת»¯ÎªÏËάËØÐÔÑס£

    (¶þ)±äÖÊÐÔÑ×

    ´ËÀàÑ×Ö¢ÊÇÒÔ×éÖ¯¡¢Ï¸°ûµÄ±äÐÔ¡¢»µËÀ¸Ä±äΪÖ÷£¬Í¬Ê±ÓÐÉø³ö£¬¶øÔöÉú·´Ó¦½ÏÇá΢¡£³£¼ûÓÚÖØÖ¢¸ÐȾ¡¢Öж¾¼°ÃâÒß±ä̬·´Ó¦µÈ¡£Ö÷Òª·¢ÉúÓڸΡ¢Éö¡¢ÐÄ¡¢ÄÔµÈʵÖÊÐÔÆ÷¹Ù¡£ÓÉÓÚÆ÷¹ÙµÄʵÖÊϸ°û±äÐÔ¡¢»µËÀ¸Ä±äÍ»³ö£¬¹ÊÕâÀàÑ×Ö¢³£ÒýÆðÏàÓ¦Æ÷¹ÙµÄÃ÷ÏÔ¹¦ÄÜÕÏ°­¡£ÀýÈ磬¼±ÐÔÖØÐͲ¡¶¾ÐÔ¸ÎÑ×£¬¸Îϸ°û¹ã·º»µËÀ£¬³öÏÖÑÏÖصĸι¦ÄÜÕÏ°­£»Óɰ׺íÍⶾËØÒýÆðµÄÖж¾ÐÔÐļ¡Ñ×£¬Ðļ¡Ï¸°û±äÐÔ¡¢»µËÀ£¬ÒýÆðÑÏÖصÄÐŦÄÜÕÏ°­£»Á÷ÐÐÐÔÒÒÐÍÄÔÑ×ʱ£¬Éñ¾­Ï¸°û±äÐÔ¡¢»µËÀ¼°ÄÔÈí»¯ÔîÐγÉ£¬ÒýÆðÑÏÖصÄÖÐÊàÉñ¾­¹¦ÄÜÕÏ°­µÈ¡£

    (Èý)ÔöÉúÐÔÑ×

    ´ó¶àÊý¼±ÐÔÑ×Ö¢ÊÇÒÔÉø³öºÍ±äÖʸıäΪÖ÷£¬µ«Ò²ÓÐÉÙÊý¼±ÐÔÑ×Ö¢ÊÇÒÔϸ°ûÔöÉú¸Ä±äΪÖ÷£¬¶ø±äÖʺÍÉø³ö¸Ä±äÏà¶Ô½ÏÇá¡£ÀýÈ磬Á´Çò¾ú¸ÐȾºóµÄ¼±ÐÔÉöСÇòÉöÑ×£¬²¡±äÒÔÉöСÇòµÄѪ¹ÜÄÚƤϸ°ûºÍϵĤϸ°ûÔöÉúΪÖ÷£»É˺®²¡Ê±£¬²¡±äÒÔµ¥ºË¾ÞÊÉϸ°ûÔöÉúΪÖ÷¡£

    ¶þ¡¢ÂýÐÔÑ×Ö¢ÀàÐÍ

    ÂýÐÔÑ×Ö¢µÄ²¡³Ì½Ï³¤£¬ÊýÔÂÖÁÊýÄêÒÔÉÏ¡£¿ÉÓɼ±ÐÔÑ×ǨÑÓ¶øÀ´£¬»òÕßÓÉÓÚÖÂÑ×Òò×ӵĴ̼¤½ÏÇá²¢³ÖÐøʱ¼ä½Ï³¤£¬Ò»¿ªÊ¼¼´³ÊÂýÐÔ¾­¹ý¡£Èç½áºË²¡ºÍ×ÔÉíÍÃÒßÐÔ¼²²¡µÈ³£³ÊÂýÐÔÑ×Ö¢¾­¹ý¡£ÂýÐÔÑ×Ö¢ÓÉÓÚ»úÌåµÖ¿¹Á¦½µµÍ£¬²¡Ô­Ìå´óÁ¿·±Ö³£¬¿Éת»¯Îª¼±ÐÔÑ×Ö¢£¬³ÆΪÂýÐÔÑ×¼±ÐÔ·¢×÷¡£ÈçÂýÐÔµ¨ÄÒÑ׺ÍÂýÐÔÀ»Î²Ñ׵ļ±ÐÔ·¢×÷µÈ¡£ÂýÐÔÑ×֢ʱ£¬¾Ö²¿²¡±ä¶àÒÔÔöÉú¸Ä±äΪÖ÷£¬±äÖʺÍÉø³ö¸Ä±ä½ÏÇ᣻Ñ×ϸ°û½þÈó¶àÒÔÁÜ°Íϸ°û¡¢¾ÞÊÉϸ°ûºÍ½¬Ï¸°ûΪÖ÷£¬³£°éÓÐÏËάĸϸ°ûºÍѪ¹ÜÄÚƤϸ°ûµÄÔöÉú¡£¸ù¾ÝÐÎ̬ѧÌص㣬ÂýÐÔÑ×Ö¢¿É·ÖΪһ°ãÂýÐÔÑ×Ö¢ºÍÈâÑ¿Ö×ÐÔÑ×Ö¢Á½´óÀà¡£

    (Ò»)Ò»°ãÂýÐÔÑ×Ö¢

    Ò»°ãÂýÐÔÑ×Ö¢£¬²¡±äÖ÷Òª±íÏÖΪÏËάĸϸ°û¡¢Ñª¹ÜÄÚƤϸ°ûºÍ×é֯ϸ°ûÔöÉú£¬°éÓÐÁÜ°Íϸ°û¡¢½¬Ï¸°ûºÍ¾ÞÊÉϸ°ûµÈÂýÐÔÑ×ϸ°û½þÈó£¬Í¬Ê±¾Ö²¿µÄ±»¸²ÉÏƤ¡¢ÏÙÉÏƤºÍʵÖÊϸ°ûÒ²¿ÉÔöÉú¡£Õ³Ä¤ÂýÐÔÑ×֢ʱ£¬ÓÉÓÚÖÂÑ×Òò×ӵij¤Æڴ̼¤£¬¾Ö²¿Õ³Ä¤×éÖ¯¿É·¢Éú¹ý¶ÈÔöÉú¼°ÈâÑ¿×éÖ¯ÔöÉú£¬ÏòճĤ±íÃæÍ»³öÐγɸù²¿ÓеٵÄÖ×Î³ÆΪÑ×ÐÔÏ¢Èâ(inflammatory polyp)¡£³£¼ûµÄÓбÇÏ¢Èâ¡¢×Ó¹¬¾±Ï¢ÈâºÍ½á³¦Ï¢ÈâµÈ¡£Ï¢Èâ´óС´ÓÊýºÁÃ×ÖÁÊýÀåÃײ»µÈ¡£Ï¢ÈâµÄ±íÃæÓÐÔöÉúµÄճĤÉÏƤ±»¸²£¬ÉÏƤÏÂΪÔöÉúµÄÏÙÌåºÍÊèËɽáµÞ×éÖ¯£¬°éÓÐË®Ö׺ʹóÁ¿ÂýÐÔÑ×ϸ°û½þÈó¡£ÂýÐÔÑ×֢ʱ£¬ÓÉÓÚ¾Ö²¿×éÖ¯Ñ×ÐÔÔöÉú£¬¿ÉÐγÉÒ»¸ö¾³½ç½ÏÇå³þµÄÖ×ÁöÑù½á½Ú»òÍſ飬ÈâÑÛ¼°xÏß¹Û²ìÓëÖ×ÁöÍâÐÎÏàËÆ£¬³ÆΪÑ×ÐÔ¼ÙÁö¡£ºÃ·¢Óڷμ°ÑÛ¿ô¡£·ÎµÄÑ×ÐÔ¼ÙÁö½á¹¹¸´ÔÓ£¬³ýÓзÎÅÝÉÏƤ¡¢ÈâÑ¿×éÖ¯ºÍ¾ÞÊÉϸ°ûÔöÉúÍ⣬»¹ÓÐÁÜ°Íϸ°û¡¢½¬Ï¸°û½þÈóºÍ·ÎÅÝÄÚ³öѪ¡¢º¬ÌúѪ»ÆËسÁ×ŵÈ¡£ÑÛ¿ôµÄÑ×ÐÔ¼ÙÁöÖ÷ÒªÓÉ´óÁ¿ÁÜ°Í×éÖ¯ÔöÉúÐγÉ¡£Ñ×ÐÔ¼ÙÁö±¾ÖÊÊÇÑ×Ö¢£¬²¢·ÇÖ×Áö£¬µ«ÐèÓëÕæÐÔÖ×Áö¼ø±ð¡£

    (¶þ)ÈâÑ¿Ö×ÐÔÑ×Ö¢

    Ñ×Ö¢¾Ö²¿ÒÔ¾ÞÊÉϸ°ûÔöÉúΪÖ÷¡¢Ðγɾ³½çÇå³þµÄ½á½Ú×´²¡Ô³ÆΪÈâÑ¿Ö×ÐÔÑ×(granulomatous inflammation)£¬»ò³ÆΪÑ×ÐÔÈâÑ¿Öס£ËüÊôÓÚÒ»ÖÖÔöÉúÐÔÑס£¾ÞÊÉϸ°ûÀ´Ô´ÓÚѪҺµÄµ¥ºËϸ°ûºÍ¾Ö²¿ÔöÉúµÄ×é֯ϸ°û¡£¾ÞÊÉϸ°û¿Éת»¯ÎªÌØÊâÐÎ̬µÄϸ°ûÈçÉÏƤÑùϸ°ûºÍ¶àºË¾Þϸ°ûµÈ¡£¸ù¾ÝÖÂÑ×Òò×ӵIJ»Í¬£¬ÈâÑ¿Ö×ÐÔÑ×Ö¢¿É·ÖΪ¸ÐȾÐÔÈâÑ¿Ö׺ÍÒìÎïÐÔÈâÑ¿Ö×Á½Àà¡£

    1¡¢¸ÐȾÐÔÈâÑ¿Ö×(infective granuloma) ÓÉÉúÎﲡԭÌåÈç½áºË¸Ë¾ú¡¢É˺®¸Ë¾ú¡¢Âé·ç¸Ë¾ú¡¢Ã·¶¾ÂÝÐýÌ塢ù¾úºÍ¼ÄÉú³æµÈÒýÆð£¬ÄÜÐγɾßÓÐÌØÊâ½á¹¹µÄϸ°û½á½Ú¡£ÀýÈ磬½áºËÐÔÈâÑ¿Ö×(½áºË½á½Ú)Ö÷ÒªÓÉÉÏƤÑùϸ°ûºÍÒ»¸ö»ò¼¸¸öÀɺ±¾Þϸ°û×é³É¡¢É˺®ÈâÑ¿Ö×(É˺®Ð¡½á)Ö÷ÒªÓÉÉ˺®Ï¸°û×é³É£¬·çʪÐÔÈâÑ¿Ö×Ö÷ÒªÓÉ·çʪϸ°û×é³É¡£

    2¡¢ÒìÎïÐÔÈâÑ¿Ö×(forective granuloma) ÓÉÍâ¿Æ·ìÏß¡¢·Û³¾¡¢»¬Ê¯·Û¡¢Ä¾´ÌµÈÒìÎïÒýÆð¡£²¡±äÒÔÒìÎïΪÖÐÐÄ£¬Î§ÒÔ¶àÉÙ²»µÈµÄ¾ÞÊÉϸ°û¡¢ÒìÎï¾Þϸ°û¡£ÏËάĸϸ°ûºÍÁÜ°Íϸ°ûµÈ£¬Ðγɽá½Ú×´²¡Ôî¡£ÈâÑ¿Ö×ÐÔÑ×ÓëÒ»°ãÂýÐÔÑײ»Í¬¡£ËüÒòÒýÆðµÄÔ­Òò²»Í¬£¬ÔöÉúµÄϸ°ûÐÎ̬¼°ÆäÅÅÁÐÐÎʽ¸÷ÓÐÆäÏà¶ÔµÄÌØÊâÐÔ¡£¸ù¾ÝÕâЩÏà¶ÔÌØÊâµÄÐÎ̬Ìص㣬ÓÐÖúÓÚ×÷³ö²¡ÒòѧÕï¶Ï¡£Èç¼ûµ½µäÐ͵ĽáºËÐÔÈâÑ¿Ö×µÄÐÎ̬½á¹¹£¬Ôò¿ÉÕï¶ÏΪ½áºË²¡¡£Ñ×Ö¢ÀàÐÍ£¬³ý¼±ÐÔÑ×Ö¢ºÍÂýÐÔÑ×Ö¢Í⣬ÉÐÓг¬¼±ÐÔÑ×Ö¢ºÍÑǼ±ÐÔÑ×Ö¢µÈÀàÐÍ¡£³¬¼±ÐÔÑ×Ö¢³Ê±©·¢ÐÔ¾­¹ý£¬Õû¸ö²¡³ÌÊýСʱÖÁÊýÌ죬Ñ×Ö¢·´Ó¦Ï൱¾çÁÒ£¬¿ÉÔÚ¶ÌÆÚÄÚÒýÆð×éÖ¯¡¢Æ÷¹ÙµÄÑÏÖØË𺦣¬ÉõÖÁΣ¼°²¡ÈËÉúÃü£¬ÈçÆ÷¹ÙÒÆֲʱµÄ³¬¼±ÐÔÅųⷴӦ¼´ÊôÓÚ³¬¼±ÐÔÑ×Ö¢¡£¡¢ÑǼ±ÐÔÑ×Ö¢µÄ²¡³Ì½éÓÚ¼±ÐÔÑ×Ö¢ºÍÂýÐÔÑ×Ö¢Ö®¼ä£¬³£Óɼ±ÐÔÑ×֢ǨÑÓ¶øÀ´¡¢»òÓɶ¾Á¦½ÏÈõµÄÖÂÑ×Òò×ÓÒýÆð£¬ÈçÑǼ±ÐÔϸ¾úÐÔÐÄÄÚĤÑ×£¬¶àÓɶ¾Á¦½ÏÈõµÄ²ÝÂÌÉ«Á´Çò¾úÒýÆð¡£

    µÚÎå½ÚÑ×Ö¢µÄ½á¾Ö

    Ñ×Ö¢¹ý³ÌÖУ¬¼´ÓÐËðÉËÓÖÓп¹ËðÉË¡£ÖÂÑ×Òò×ÓÒýÆðµÄËðÉËÓë»úÌ忹ËðÉË·´Ó¦µÄ¶·Õù£¬¾ö¶¨×ÅÑ×Ö¢µÄ·¢Éú¡¢·¢Õ¹ºÍ½á¾Ö¡£ÈçËðÉËÕ¼ÓÅÊÆ£¬ÔòÑ×Ö¢¼ÓÖØ£¬²¢ÏòÈ«ÉíÀ©É¢£¬È翹ËðÉË·´Ó¦Õ¼ÓÅÊÆ£¬ÔòÑ×Ö¢Öð½¥Ç÷ÏòȬÓú£¬Ñ×Ö¢µÄ½á¾Ö£¬¿ÉÓÐÒÔÏÂÈýÖÖÇé¿ö¡£

    (Ò»)ȬÓú

    ¶àÊýÇé¿öÏ£¬ÓÉÓÚ»úÌåµÖ¿¹Á¦½ÏÇ¿»ò¾­¹ýÊʵ±µÄÖÎÁÆ£¬²¡Ô­Î¢ÉúÎï±»ÏûÃð£¬Ñ×Çø»µËÀ×éÖ¯¼°Éø³öÎï±»ÈܽâÎüÊÕ£¬Í¨¹ýÖÜΧ½¡¿µÏ¸°ûµÄÔÙÉúÐÞ¸´£¬×îºóÍêÈ«»Ö¸´ÆäÕý³£µÄ½á¹¹ºÍ¹¦ÄÜ£¬³ÆΪÍêȫȬÓú¡£ÀýÈç´óÒ¶ÐÔ·ÎÑ×ʱ£¬Éø³öÎï±»Èܽ⣬ÎüÊÕÏûÉ¢ºó£¬·Î×éÖ¯µÄÔ­ÓнṹºÍ¹¦ÄÜ¿ÉÍêÈ«»Ö¸´£¬ÉÙÊýÇé¿öÏ£¬ÓÉÓÚ»úÌåµÖ¿¹Á¦½ÏÈõ¡£Ñ×Çø»µËÀ·¶Î§½Ï´ó£¬ÖÜΧ×éÖ¯¡¢Ï¸°ûÔÙÉúÄÜÁ¦ÓÐÏÞ£¬»òÉø³öµÄÏËάËؽ϶࣬²»ÈÝÒ×ÍêÈ«ÈܽâÎüÊÕ£¬ÔòÓÉÔöÉúµÄÈâÑ¿×éÖ¯³¤È룬ÐγÉñ£ºÛ»òÕ³Á¬£¬¶ø²»ÄÜÍêÈ«»Ö¸´ÆäÕý³£µÄ½á¹¹ºÍ¹¦ÄÜ£¬³ÆΪ²»ÍêȫȬÓú¡£Èç¹ûñ£ºÛ×éÖ¯Ðγɹý¶à»ò·¢ÉúÔÚijЩÖØÒªÆ÷¹Ù£¬¿ÉÒýÆð¹¦ÄÜÕÏ°­¡£

    (¶þ)ǨÑÓ²»Óú»òתΪÂýÐÔ