甲下血管球瘤48例临床诊治分析

The Clinical Analysis of Diagnosis and Treatment of 48 Cases on Subungual Glomus Tumor

摘要:

目的 总结48例血管球瘤临床资料,探讨其诊断及治疗方法。 方法 回顾性分析2012年5月至2016年6月在我院疼痛科接受治疗的四肢末端甲下血管球瘤患者48例,对其进行临床检查、X线及超声检查。采用术中超声定位完整切除肿瘤,术后病理检查并进行随访。结果 本组患者触诱发痛、Love实验、冷刺激实验阳性率均为100%,Hildreth实验阳性率为94%,超声检出率为100%。瘤体切除后,症状均消失,病理均证实为血管球瘤。随访1-3年,均未复发。结论 结合临床特点及影像学检查可以提高诊断率,手术完整切除效果理想,值得推广。

Abstract:

Objective To investigates the diagnosis and treatment of 48 cases on subungual glomus tumor. Methods Retrospective analysis of 48 subungual glomus tumor patients from May 2012 to Jun 2016,Who were treated in The pain Department of our hospital, And Give them clinical, X-ray and ultrasound. All patients received surgery which the tumor was completely cut off Under ultrasonic positioning. The tumor were pathological examination and the patients received long-term follow-up. Results 100% of the patients in this group suffered from touch induced pain, Love experiment and cold Stimulation experiment, 94% of the patients in this group suffered from Hildreth experiment. And The accuracy of ultrasonic examination is 100%.All the case were cured until 1-3 years after operation and all tumor were Confirmed by pathological examination. Conclusion Combined with clinical characteristics and imaging examination, the diagnosis rate can be improved, and the effect of complete resection is ideal, which is worth popularizing.