【摘要】 目的　总结对手指血管球瘤的诊治疗效。方法　 1997年 1月至 2 0 0 2年 5月对 3 9例手指血管球瘤进行诊治。肿瘤生长于甲下 3 3例 ,甲旁 4例 ,指腹 1例 ,指近节掌侧 1例。 3 9例患指有疼痛和压痛 ,Love征呈阳性 ,2 8例患指甲下有紫红色斑点 ,12例患指对冷刺激敏感。 3 9例均作血管球瘤摘除术。结果　术后随访 6～ 60个月 ,平均 3 8.4个月。 3 5例治愈 ,术前症状消失。 4例术后 3个月～ 5年肿瘤复发(10 .2 6% ) ,再次接受手术治疗 ,3例获得治愈。 1例第 3次术后又复发 ,由于患指疼痛及甲板明显畸形 ,施行第 3次手术时 ,将肿瘤及全部甲床切除 ,用鱼际皮瓣修复示指末节背侧的软组织缺损 ,最终获得治愈。甲下血管球瘤术后 2 7例 (2 7/ 3 3 ,占 81.82 % )患指的指甲上有微小的纵沟。 5例 (5/ 3 3 ,占 5.15% )指甲明显变形 ,1例 (1/ 3 3 ,占 3 .0 3 % )指甲损毁。结论　血管球瘤具有特征性的临床表现 ,结合影像学和病理表现 ,均可明确诊断。肿瘤切除术是一种有效的治疗方法更多还原

【Abstract】 ObjectiveTo improve the accuracy of diagnosis and result of su rgical treatment for glomus tumors of the finger. Methods39 ca ses with glomus t umors on the fingers were analysed retrospectively. These cases were treated in Beijing Jishuitan Hospital from January 1997 to May 2002. Among these 39 patient s, 33 patients had a lesion located on subungual area, and the other 6 patients had lesion beyond subungual area, including 4 in the paranychia, 1 in the pulp, and 1 on the palmar side of the finger. The glomus tumors were excised. ResultsMost patients with glomus tumor had triad of pain, tenderness and sensitivene ss to cold. All patients had positive Love’s sign. Postoperative follow-up p eriod ranged from 6 months to 60 months, with an average of 38.4 months. Pain significantly diminished or disappeared in 35 patients postoperatively. Local r ecurrence occurred in 4 (4/39,10.26%)patients and further surgical excisions were performed. Three of those were cured by the second resection. Local recurr ence occurred again in the other patient. Wide resection combined with thenar fl ap was performed for the patient due to serious nail deformity. Minimal longitud inal groove was observed in 27 patients (27/33, 81.82%). Significant nail deform ity was seen in 5 patients, while entire loss of the nail was observed in 1 pati ent due to multiple recurrences. ConclusionGlomus tumor of the finger has sp ecific features on clinical presentation, pathology and imaging study. In most c ircumstances, it can be diagnosed definitely. Local resection is an effective me thod.更多还原