血管球瘤28例诊治分析

Diagnosis and treatment of glomus tumor:a report of 28 cases

目的 分析血管球瘤的发病机理 ,临床特点和误诊及治疗情况。方法 总结 2 8例术后病理检查证实的血管球瘤病例 ,对其主要临床表现及特征、误诊时间和病种、误诊的原因、误诊治疗的方式等进行分析。结果 非专业医师常因对本病的认识不足而误诊以致误治 ,误诊的病种和治疗方式多样。结论 血管球瘤较易误诊 ,彩色B超X线检查是诊断血管球瘤行之有效有效方法。

Objective To analyse glomus tumor's etiopathogenesis,clincal manifestation,misdiagnosis and treatment.Methods The Clinical manifestations,the time and rasons of misdiagnosis,error treatment were analysed in 28 case with glomus tumor demonstrated by pathological examination after operation.Results Lack of knowledge about glomus tumor,unspecialized doctors misdiagnosed and error-treated the disease.High Frequency Color Ultrasound has such high-resolution power to locate tumor and to show the figure of tumor and the blood vessel around tumor that the located diagnosis,quantitative diagnosis,quality diagnosis may be made.X-Ray examination is the one of effective methods in diagnosing the disease.X-Ray examination can not only find the finger distal hypertrophy of soft tissue but also find phalangeal tuberositas slimming even vanishing and that there were ring shaped clear zones caused by bone defect in phalanges.Conclusion Glomus tumor is often misdiagnosed for a number of reasons.We should inprove our knowledge about glumos tumor.Color Ultrasound and X-Ray are the useful and effective methods through which we can accurately diagnose glomus tumor and decrease misdiagnosis rate.Resection is the only effective treatment for glomus tumor.