四肢肌肉间血管瘤的诊治及误诊分析

目的 :探讨四肢肌肉间血管瘤临床诊断、误诊及治疗问题。方法 :对 17例经术后病理证实的四肢肌肉间血管瘤的有关资料进行统计 ,分析发病年龄、部位、临床表现、体征特点及有关辅助检查的临床价值和治疗方法及误诊原因。结果 :30岁以下占 82 .35 % ,下肢占 76 .4 7%。以局限性疼痛、局部肿块的临床症状、体征为主 ,运动后疼痛加重、肿块增大为特点。术后随访 11例 ,复发 1例。结论 :青少年发病率最高 ,下肢多于上肢 ,体积小位置深的肿瘤易误诊。X线平片和 B超有诊断价值 ,MRI能确诊 ,同位素扫描对术后复发有诊断价值。手术切除为主要手段 ,切除不彻底是复发的主要原因。

Clinical Diagnosis and Treatment for Intramuscular Hemangioma

Objective:To explore the clinical diagnosis,misdiagnosis and treament of intramuscular hemangioma(I.M.H).Methods:The clinical data of 17 cases of I.M.H diagnosed by postoperative pathological examination were analyzed.Results:82.35% of the patients were less than 30 years,and 76.47% of the lesions located in the lower extremities. The clinical symptoms and signs were characterized by local pain and mass,which could be aggravated after exercise.11 pat ients were followed up for an average of one year and five months,and one recurrenc e was found.Conclusion:I.M.H happened most in youngsters. Tumor in lower extremities was more often than in upper extremities. The tumor with small volume and deep position was easily misdiagnosed. Radiograph and ultrasonography was helpful for diagnosis,and M.R.I was most useful for correct diagnosis. SRECT could provide helpful information for a recurrence. The surgical excision was a major method. Recurrence could be attributed to incomplete excision.