手指复发血管球瘤的手术治疗  

Surgical treatment of the recrudescent glomus tumors of the fingers

作　　者：齐勇[1] 李贵涛[1] 武光勤[1] 徐汪洋[1] 

机构地区：[1]广东省第二人民医院骨科,广州510317

出　　处：《中国实用医药》2008年第23期18-19,共2页China Practical Medicine

摘　　要：目的探讨并总结手指复发血管球瘤的诊断与治疗方法。方法手术治疗的复发手指血管球瘤13例,其中男2例,女11例,年龄17-38岁,其中食指4例,中指5例,环指和小指各2例。第一次手术后到再次手术的时间最短1月,最长5年,平均1.3年。13例患者中在术后有6例曾被误诊为甲沟炎、术后感染或伤口内异物。部分病例术前行彩色多普勒检查。13例患者均采用手术治疗。结果术后所有患者经病理学检查均诊断为血管球瘤。手术后疼痛三联征消失,伤口无一例感染患者,1例患者甲床小部分坏死,经换药后愈合,指甲生长欠平滑4例,患者术后对于手指外观满意率85.6%。结论正确认识并诊断复发血管球瘤,并选择合理的手术入路,彻底切除肿瘤以减少复发,是取得良好治疗结果的关键。Objective To summarize the diagnosis and surgical treatment of the recrudeseent glomus tumors of the fingers. Methods 13 eases with recrudescent glomus tumors of the fingers were analysed retro- spectively. Among these cases, three patients were male, and 11 were female. The ages arranged from 17 to 38 years old. 4 eases occurred in index finger, 5 in middle fingers, 2 in ring fongers and 2 in little fingers. The mean interval period from the first operation to the second surgery is about 13 months, the shortest was 1 month, and the longest was 5 years. Among these 13 eases, 6 patients have been misdiagnosed as panaritium, postoper- ative infection or corpus alienum. Some patients accepted color Doppler in order to identify the diagnose and whether there were tumors in palm side of the fingers, especially when patients feel pain at the palm of the fingers. All the cases underwent surgical treatment. Results During the operation we found that 6 cases had two or more tumor bodies. All the case were verified by pathology. The triad of pain were disappeared in all patients without infection. But a small area of nail necrosed in one case, and healed after change of dressing. 4 nails appeared unsmooth after surgery. About 85.6% of the cases were satisfied about the results. Conclusion The local reerudescent glomus tumors of the fingers shoud be diagnosed definitely and better understood. If the operation were practiced through reasonable approach, and tumors were resectted thoroughly, a excellent clinical result can be got.

关 键 词：血管球瘤 手指 手术治疗 

分 类 号：R739.96[医药卫生—肿瘤] R739.63[医药卫生—临床医学]