女性手部血管球瘤的早期诊断及显微外科治疗

目的：探讨女性手部血管球瘤的临床表现,早期诊断及治疗方法。方法：选择30例女性手部血管球瘤患者,年龄18～48岁,平均35岁;病程3个月～3年。均为单指发病。早期行显微外科手术切除治疗。结果：30例中28例指甲有不同程度的局限性隆起,并可见指甲下有蓝紫色斑点状改变。18例X线片末节指骨有不同程度的受压表现。全部病例均可于指甲上找到明确并且固定的压痛点,术后患指疼痛均完全消失,经平均15个月随访,无疼痛复发病例。结论：甲下有蓝紫色斑点状改变及有固定压痛点,对女性手部血管球瘤患者有诊断意义,早期行显微外科手术切除是治疗此病有效的方法。

Early diagnosis and microsurgical treatment of hand glomus tumor in 30 female cases

Objective: To investigate the clinical features,early diagnosis and surgical treatment of the hand glomus tumor in the female. Methods: Thirty female patients with the hand glomus tumor underwent early resection by microsurgery. The average age was 35 years ranging from 18 to 48 years. The course of disease was from 3 months to 3 years. All patients' tumors occured on single finger. Results: In the 30 cases,there were 28 patients with localized eminences and hepatic plaques under the nail. The compression of distal phalanx could be seen on radiographs in 18 patients,definite and localised tenderness on nails could be found in all cases,the tenderness disappeared and no recurrence after 15 months of follow-up in all cases. Conclusion: The hepatic plaque under the nail and fixed tenderness point on the nail are of significance in diagnosis for the hand glomus tumor in the female,the early microsurgical resection is unique effective treatment to this disease.