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目的 探讨显微外科手术切除手指甲下血管球瘤.方法 自2011年1月至2014年5月共收治34例甲下血管球瘤患者,均于显微镜视下行手术切除.肿物行病理切片检查,术后门诊随访,通过主、客观评价进行评估.即典型疼痛三联征:间歇性剧痛、难以忍受的触痛以及疼痛有冷敏感性.诊断测试:Love试验、Hildreth试验和冷敏感试验.结果 34例患者切除的肿瘤组织术后病理检查结果均确诊为血管球瘤,其中32例患者获得随访,时间为6～45个月,平均25.5个月.32例均治愈,术前症状消失.结论 血管球瘤具有特征性的临床表现,采用显微外科手术切除是一种较为彻底和精准的治疗方法.“,”Objective To explore the microsurgical treatment of subungual glomus tumors.Methods A consecutive 34 cases of subungual glomus tumors were treated from January 2011 to May 2014.Tumor resection was carried out under the microscope.The resected tumors were submitted for histopathological examination.Postoperative evaluations included both subjective and objective measures such as the triple pain syndromes of intermittent sharp pain, intolerable touch pain and cold intolerance, Love test, Hildreth test and cold sensitivity test.Results Pathology confirmed glomus tumors in all 34 cases.Out of 34 cases, 32 had follow-up of 6 to 45 months with an average of 25.5 months.They were all clinically cured and symptom-free.Conclusion Subungual glomus tumors have typical clinical features.Microsurgical resection is a thorough and effective treatment.