手指血管球瘤的诊断与治疗

摘要

Objective: To study the clinical manifestations, diagnosis and treatment of glomus tumors in finger.Methods..The clinical data of 25 patients of the glomus tumors in finger were aralyzed retrospectively.Results: All of the patients had the same complaints that were severe painful on touching and with exposure to coldness in the finger tip.Radiographs can depict bone defection in some several patients.Glomus tumors could show high signal intensity on T2-weighted spin-echo MR images and strong enhancement after contrast medium injection.Complete excision, including the capsule, was the most effective treatment.The whole patients were cured after surgery, and the symptoms didn't recur in 12-18 months after surgery.Conclusions:Pinpoint pain in the finger, paroxysmal pain and hypersensitivity to cold are the characteristics of glomus tumors.X-ray and magnetic resonance imaging (MRI) can contribute to diagnosis.The criticality of the cure is complete excision by surgery.%目的:研究手指血管球瘤的临床表现、诊断及治疗方法.方法:回顾分析近3年来所收集的25例手指部血管球瘤病例的临床资料.结果:所有患者均出现手指局部压痛,疼痛较剧烈,低温诱导疼痛等阳性体征,皮肤表面无红肿热痛.病变严重的患者X线检查可见血管球瘤压迫指骨造成指骨压迹,磁共振成像(MRI)下可见血管球瘤呈结节状,T1加权像上为等信号,T2加权像上呈高信号,注射对比剂后病灶可见明显强化.经过手术切除后所有患者均治愈,术前症状完全消失,术后随访12～18个月无复发.结论:手指局部压痛,疼痛较剧烈,低温致痛是血管球瘤特征性的临床表现,X线和MRI等辅助检查有助于本病的确诊.手术完整切除是根治本病的关键.