手部肉芽肿性血管瘤的分型及治疗策略

Classification and treatment strategy for pyogenic granuloma of the hand

目的探讨手部肉芽肿性血管瘤的发病特点、分型及治疗策略。方法自2003年1月至2015年4月，我们共收治50例手部肉芽肿性血管瘤患者，根据形态特征分为四型：宽蒂型、窄蒂型、微小病变型和血泡型，回顾性分析各型肿物的手术方法。结果手术切除成功率为100％，25例患者需植皮修复创面，术后病理均明确为肉芽肿性血管瘤。术后随访时间为3～6个月，平均4个月，未见复发，切口愈合良好，植皮皮片全部成活。结论手部肉芽肿性血管瘤发病特点显著，手术方法与肿物分型相关联。

Objective To explore the clinical characteristics, classification and treatment strategy for pyogenic granuloma of hand. Methods Fifty cases of pyogenic granuloma of the hand treated from January 2003 to April 2015 were reviewed. According to their morphological characteristics, all cases were classified into four types： wide pedicle type, narrow pedicle type, minute type, and vesicle type. For each type, the operation strategy was explored and summarized. Results All the pyogenic granulomas were effectively removed surgically. Skin graft was necessary in 25 cases. Postoperative pathology confirmed the diagnosis of pyogenic granuloma. With an average follow-up period of 4 months, all the incisions were healed and all the skin graft survived with no recurrence of the tumor. Conclusion Pyogenic granuloma of the hand has unique clinical features. The treamaent strategy is related to the classification of the tumor.