摘要
目的 总结血管球瘤的发病情况并探讨其病因和治疗。方法 对在1977年3月至1998年3月收治的80例血管球瘤病例进行回顾性分析。结果 80例中,女性66例,男性14例。年龄9-66岁,其中57例为30～50岁。均无明确的外伤病史。肿瘤部位:指端77例(甲下52例),手掌部1例,内踝部1例,腹壁1例。病史1～13年不等。症状:主要以肿瘤部位局限性压痛为主,遇冷加重。治疗:80例均采取肿瘤切除手术。38例行外科切除手术,术后5例复发;42例行显微外科切除手术,术后无1例复发。结论 该病多见于女性(82％)。发病年龄以30～50岁居多(71％)。肿瘤好发部位为指端(96％),其中又以甲下多见(65％)。治疗:以手术为主,采用显微外科切除术不易复发。病因尚不清楚。
Objective To sum up the occurrence of glomus tumor and investigate its cause and treatment. Methods Glomus tumors (80 cases) were analyzed retrospectively from March, 1977 to March, 1998. Results There were 66 female and 14 male. The patients ranged from 9 to 66 in age, of which 57 cases were from 30 to 50. There was no significant injury history. The tumors were located at the fingertip 77 cases (hyponychia 52 cases), at the palm part of hand 1 case, at the medial malleolus 1 case, at the abdominal wall 1 case. The disease course varied from 1 to 13 years. Localized tenderness was the primary symptom, and it became more severe when it was cool. All 80 cases were surgically excised, of which 38 cases were resected by general operation with recurrence in 5 cases, and 42 cases were excised under microscope without recurrence. Conclusion Glomus tumor was more common in females(82%) , most of whom aged from 30 to 50(71%). It occurs more often at the fingertip(96%), more frequently at the hyponychia (65%). Glomus tuomor is mostly treated by surgical excision. Microsurgical excision of the tumor is not liable to recur. However, the etiology is still unclear.
出处
《中华手外科杂志》
CSCD
2003年第4期238-239,共2页
Chinese Journal of Hand Surgery
