论文部分内容阅读
目的通过对一组血管球瘤患者的回顾,进一步了解其临床表现,从而提高诊治水平。方法回顾性分析从1993年8月-2009年6月在我院治疗的一组血管球瘤患者,记录他们的典型症状、病程、辅助检查情况以及治疗效果。结果本组共40例血管球瘤患者:男5例,女35例,平均年龄40.8岁。生长部位:甲下31例、指腹8例、手指近节掌侧1例。所有患者均有疼痛和局部触痛,部分患者表现为冷敏感。病程平均6.5年,其中9例患者曾被误诊。Love试验对于诊断及手术定位具有重要作用。B超、MRI对诊断有辅助作用。手术切除是最可靠的治疗方法,术后疼痛症状消失。结论血管球瘤是一种少见的软组织肿瘤。手术治疗效果良好,但误诊及延误诊断情况较常见。提高对其临床表现的认识进而提高诊断率,可减少症状持续时间,降低医疗费用,提高患者生活质量。
Objective To further understand the clinical manifestations of a group of patients with glomus tumors to improve the diagnosis and treatment. Methods A retrospective analysis of a group of patients with angiomas treated in our hospital from August 1993 to June 2009 was performed to record their typical symptoms, course of disease, auxiliary examinations and treatment effects. Results A total of 40 patients with glomus tumors: 5 males and 35 females, with an average age of 40.8 years. Growth sites: A hypothyroidism in 31 cases, 8 cases of pulp, finger near the palm side of the palm in 1 case. All patients had pain and local tenderness, and some patients showed cold sensitivity. The average course of 6.5 years, of which 9 patients had been misdiagnosed. Love test for diagnosis and surgical positioning has an important role. B ultrasound, MRI diagnosis of the auxiliary role. Surgery is the most reliable treatment, postoperative pain symptoms disappear. Conclusion Glomus is a rare soft tissue tumor. Surgical treatment works well, but misdiagnosis and delayed diagnosis are more common. Improve their understanding of clinical manifestations and thus improve the diagnostic rate, reduce the duration of symptoms, reduce medical costs, improve patient quality of life.