37例指端血管球瘤的诊治  

Diagnosis and surgical treatment of glomus tumors of the fingers tip： clinical analysis of 37 cases

作　　者：查国庆[1] 牛晓锋[1] 刘云江[1] 肖良宝[1] 胡军[1] 易建华[1] 

机构地区：[1]中山大学附属第一医院东院上肢骨科,广东广州510700

出　　处：《实用手外科杂志》2016年第1期26-28,共3页Journal of Practical Hand Surgery

摘　　要：目的 提高指端血管球瘤的临床诊治水平以获得最佳的诊断及治疗方案。方法收集2006年8月-2014年8月收治的指端血管球瘤37例临床资料，总结其临床表现、影像学检查及治疗方法。结果本组37例，其中32例具有典型的三联征，即间歇性疼痛、压痛、冷激惹痛；5例仅有惠指间歇性疼痛。症状的平均持续时间超过5年，大多数患者曾被误诊。25例行MRI检查均出现阳性显影。手术切除获得满意预后，所有病例病理检查均证实为血管球瘤，已获随访病例术后无复发。结论血管球瘤不是一种罕见的疾病，手术治疗效果好，但误诊和漏诊很常见。磁共振成像是肿瘤定位最有效的方法，及早的诊治可改善慢性疼痛和精神后遗症的发病率，提高患者的生活质量。Objective To improve the accuracy of diagnosis and result of surgical treatment for glomus tumors of the finger tip. Methods 37 patients with glomus tumors of the fingers tip were reviewed in our department, between 2006 and 2014. We summarized the clinical features, imageology, therapy. Results Among 37 patients, 32 patients typically presented with a triad of severe pain, point tenderness, and cold sensitivity. 5 patients only presented with intermittent pain in affection fingers. The average duration of symptoms was more than 5 years, most of the patients had been misdiagnosed, positive images were found in 25 patients who were inspected by MRI. The lesion was treated by exploration and excision, with a satisfactory clinical outcome. In all cases, pathological examination confirmed glomus tumor. Patients had no recurrence. Conclusion Glomus tumor is not a rare disease, surgical excision had a good therapeutic efficacy, but misdiagnosis and missed diagnosis were common, MRI is the best way of tumor localization. Early diagnosis and treatment can decrease the incidence of chronic pain and mental sequelae and improve the patient＇s quality of life.

关 键 词：血管球瘤 手指 手术治疗 

分 类 号：R732.2[医药卫生—肿瘤]