指腹血管球瘤的诊治  

The diagnosis and management of glomus tumors in the finger-pulp

作　　者：王黎明[1] 李巧风[1] 李秀翠[2] 王伟[2] 曹卫友[1] 

机构地区：[1]山东省滨州市滨州医学院附属医院创伤骨科,256603 [2]温州医学院附属第二医院骨科

出　　处：《中华手外科杂志》2012年第3期160-162,共3页Chinese Journal of Hand Surgery

摘　　要：目的探讨手指指腹血管球瘤的诊治及病理观察的重要性以降低术后复发率。方法2002年2月至2010年12月收治15例指腹血管球瘤患者，临床均有局部疼痛，Love试验、冷敏感试验呈阳性，结合B超和MRI检查，术中完整切除肿瘤和包膜，术后肿瘤组织送病理检查。结果15例平均随访时间为1年，术后肿瘤无复发，术前阳性体征完全消失。病理结果均证实为血管球瘤。结论术前临床体征、B超及MRI检查和术中肿瘤完整切除，均有助于指腹血管球瘤的手术预后，降低复发率。Objective To study the diagnosis, ：surgical treatment and pathological analysis of glomus tumors in the finger-pulp and reduce the post-resection recurrence rate. Methods Between February 2（D2 and December 2010, 15 cases were diagnosed with glomus tumor in the finger-pulp. Clinical manifestations included lecalized pain, positive Love＇ s pin test and a cold sensitivity test. Ultrasonographic imaging and MRI were acquired before the operation. The glomus tumor was completely removed by surgical resection and subjected to histological examination. Results All 15 cases were follow-up for an average of one year. There was no recurrence of the tumor. All the preoperative symptoms and signs disappeared. Pathology confirmed the diagnosis of glomus tumor in all the eases. Conclusion Preoperative Love＇ s pin test, ultrasortographic imaging and MRI were useful in the diagnosis. Complete surgical removal of the glomus tumor along with its outside capsule could reduce the recurrence rate.

关 键 词：血管球瘤 病理学 外科 指腹 

分 类 号：R739.96[医药卫生—肿瘤]