四肢末端血管球瘤临床诊治与分析

Clinical diagnosis and treatment of glomus tumor at the distal ends of the extremities

目的:探讨四肢末端血管球瘤的临床、病理特征,分析手术治疗临床疗效。方法:2008年1月至2016年4月,共收治四肢末端的血管球瘤11例,女9例,男2例,年龄19~47岁,上肢末端9例,下肢末端2例,病程9个月~8年,术前患肢常规X线片检查和B超检查,均行手术切除治疗,术中切取物送病理学检查。结果:送检11例病理检查均诊断为血管球瘤。术后获12个月~5.5年随访,平均29月。切口均一期愈合,甲床愈合良好。术后疼痛症状消失,骨缺损处骨愈合,Love氏试验阴性,随访期内无复发。结论:血管球瘤具有典型临床及病理特征,手术完整切除瘤体可取得明确的疗效。

Objective：To investigate the clinicopathological features of glomus tumor in the distal ends of the extremities and the clinical effect of surgical treatment.Methods：A total of 11 patients with glomus tumor in the distal ends of the extremities were admitted from January 2008 to April 2016,among whom there were 9 female and 2male patients aged 19~47 years;9 patients had tumor in the upper extremities and 2 had tumor in the lower extremities.The course of disease ranged from 9 months to 8 years.All patients underwent routine X-ray and ultrasound examination of the affected extremities before surgery and were given surgical resection,and pathological examination was performed for the tissue removed during surgery.Results：All samples from the 11 patients were diagnosed as glomus tumor based on pathological examination.The patients were followed up for 12 months to 5.5 years after surgery（mean 29 months）.The incision achieved primary healing and the nail bed achieved good healing.Pain disappeared after surgery,bone defect was healed,the Love’s test yielded negative results,and no patient experienced recurrence during follow-up.Conclusion：Glomus tumor has typical clinicopathological features and complete surgical resection has good clinical effect.