女性手部血管球瘤的早期诊断及显微外科治疗.pdfVIP

中国骨伤2∞8 年 5 月第 21 卷第 5 期 China J Orthop Trauma ， May.2∞8 ， Vol.21 ,No.5 .381. ·经验来流· 女性于部血管球瘤的早期诊断及显微外科治疗 李庆霖 1 ，张继锋 1 ，李惠斌 2 (1.吉林大学中日联谊医院手外科，吉林长春 130021 ;2. 吉林大学中日联谊医院二部体检中心) [摘要] 目的:探讨女性手部血管沫瘤的临床表现，早期诊断及治疗方法。方法:选择 30 例女性手部血管沫瘤患 者，年龄 18-48 岁，平均 35 岁;病程 3 个月 -3 年。均为单指发病。早期行显微外科手术切除治疗。结果:30 例中 28 例 指甲有不同程度的局限性隆起，并可见指甲下有蓝紫色斑点状改变。18 (fJ X 线片末节指骨有不同程度的受压表现。全 部病例均可于指甲上找到明确并且固定的压痛点，术后患指疼痛均完全消失，经平均 15 个月随访，元疼痛复发病例。 结论:甲下有蓝紫色斑点状改变及有固定压痛点，对女性手部血管沫瘤患者有诊断意义，早期行显微外科手术切除是 治疗此病有效的方法。 [关键词] 血管沫瘤;显微外科手术;手 Early diagnosis and microsurgical treatment of hand g10mus tumor in 30 female 四ses LI Qing-lì旷， ZHANG Ji -feng , LI Hui-bi n. *Department ofHand Surgery , China-Japan Hospit a1 ofJilìn UnÍ1叩rs时， Changchun 13∞21 ,Jilin , Chìna ABSTRACT Objective:To ìnvestìgate the clinìcal features ,early diagnosis and surgical treatment ofthe hand glomus tumor ìn the female. Methods: Thìrty female patìents with the hand glomus tumor underwent early resection by mìcrosurgery. The av- erage age was 35 years rangìng from 18 to 48 years.ηle course of dìsease was from 3 months to 3 years. All patients tumors occured on sìngle finger. Results: In the 30 cases ,there were 28 patìents wìth localized emìnences and hepatìc plaques under the nail. ηle compression of dìstal phalanx could be seen on radiographs in 18 patìents ,definìte and localìsed tendemess on nails could be found in all cases ,the tendemess disappeared and no recuπ.ence after 15 months offollow-up ìn all cases. Con- clusion: The hepatic plaque under the naìl and fixed tendemess poìnt on the nail are of sìgnìficance ìn dìagnosìs for the hand glomus tumor in the female ,the early mìcrosurgìcal resection ìs unique effective treatment to thìs dìsease. Key words Glomus tumor; Mìcrosurgeη; Hand Zhongguo GushanglChina