手指复发性腱鞘巨细胞瘤的临床分析  

Clinical analysis of recurrent giant cell tumor of tendon sheath of fingers

作　　者：牛晓锋[1] 许银峰[1] 黄喜军[1] 胡军[1] 肖良宝[1] NIU Xiaofeng;XU Yinfeng;HUANG Xijun(Department of Upper Extremity Orthopedics,Eastern Hospital of the First Affiliated Hospital,Sun Yatsen University,Guangzhou,Guangdong,510700,China)

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》2020年第1期14-16,22,共4页Journal of Practical Hand Surgery

摘　　要：目的总结手指腱鞘巨细胞瘤复发的临床特点,探讨并评估外科显微手术切除的治疗效果和并发症。方法回顾性分析2010年5月-2016年9月收治的27例经病理学检查确诊的手指复发性腱鞘巨细胞瘤患者的临床资料,随访14~32个月,平均19个月。结果所有患者术后切口愈合正常,未发现肌腱粘连和瘢痕挛缩,均无复发或恶变,无肢端或远处转移,手部外观及功能恢复良好。结论MRI检查对于手指腱鞘巨细胞瘤复发后的诊断和治疗具有重要指导作用,经外科显微技术辅助手术可以最大程度地切除肿瘤和受累组织,降低复发率,同时减少术后并发症。Objective To summarize the clinical characteristics of recurrent giant cell tumor of tendon sheath(GCTTS)localized in fingers,and evaluate the treatment effects and complications of microsurgical resection.Methods Twenty-seven patients with recurrent GCTTSs localized in fingers were confirmed pathologically,and the clinical features were reviewed retrospectively.The follow-up time was 14 to 32 months,with an average of 19 months.Results Incision healing of all patients were normal postoperatively,and tendon adhesion and scar contracture were not found.None of the patients had recurrence or malignant transformation.There were no extremity or distant metastasis.The appearance and function of the hand recovered well.Conclusion MRI plays the important guiding role for the diagnosis and treatment of recurrent GCTTSs localized in fingers.Resection assisted by microsurgical surgery can maximize the removal of tumor and its involved tissues,reduce the recurrence rate,and avoid postoperative complications.

关 键 词：腱鞘巨细胞瘤 手指 复发 

分 类 号：R738.6[医药卫生—肿瘤]