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手指血管球瘤的诊治

Diagnosis and treatment of glomus tumors of the finger

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【作者】 张英琪张世民王欣

【Author】 ZHANG Ying-qi,ZHANG Shi-min,WANG Xin.Department of Orthopaedics,Tongji Hospital,Shanghai 200065,China

【机构】 同济大学附属同济医院

【摘要】 [目的]总结手指血管球瘤病例资料,探讨其临床特征和早期诊断方法。[方法]对同济医院骨科收治的13例手指血管球瘤患者进行资料总结,并与文献资料进行对比分析。本组男4例,女9例;年龄12~55岁(平均30.4岁)。病程1~15年(平均5.3岁)。所有患者行瘤体切除术,并随访1~9年。[结果]本组患者的临床特征为三联症状:不经意间剧痛15例(100%),大头针试验(Love试验)阳性15例(100%),冷刺激敏感15例(100%)。所有患者瘤体切除后症状消失,病理证实为血管球瘤。随访无复发。[结论]手指血管球瘤误诊率高,提高认识并详细体检可帮助早期诊断,手术效果理想。

【Abstract】 [Objective]To investigate the early diagnosis and treatment of finger glomus tumor.[Method]From January 2000 to May 2006,13 cases with glomus tumors,which included 4 males and 9 females with an average age of 30.4 years were analyzed.All patients were treated by surgical removal and followed up 1-9 years.[Result] All patients has triad of symptoms:paroxysmal pain,pinpoint pain in the finger,and hypersensitivity to cold.All the cases were completely cured.No recurrence was observed during the follow-up period.[Conclusion]Glomus tumors usually have a long duration with high misdiagnostic rate.Early surgical intervention is a feasible way to treat glomus tumors.

【关键词】 血管球瘤手指Love试验
【Key words】 glomus tumorsfingerLove test
  • 【文献出处】 中国矫形外科杂志 ,Orthopedic Journal of China , 编辑部邮箱 ,2011年14期
  • 【分类号】R738.6
  • 【被引频次】3
  • 【下载频次】268
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