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目的探讨并总结手指复发血管球瘤的诊断与治疗方法。方法手术治疗的复发手指血管球瘤13例,其中男2例,女11例,年龄17~38岁,其中食指4例,中指5例,环指和小指各2例。第一次手术后到再次手术的时间最短1月,最长5年,平均1.3年。13例患者中在术后有6例曾被误诊为甲沟炎、术后感染或伤口内异物。部分病例术前行彩色多普勒检查。13例患者均采用手术治疗。结果术后所有患者经病理学检查均诊断为血管球瘤。手术后疼痛三联征消失,伤口无一例感染患者,1例患者甲床小部分坏死,经换药后愈合,指甲生长欠平滑4例,患者术后对于手指外观满意率85.6%。结论正确认识并诊断复发血管球瘤,并选择合理的手术入路,彻底切除肿瘤以减少复发,是取得良好治疗结果的关键。
Objective To investigate and summarize the diagnosis and treatment of finger recurrence of angiomas. Methods Thirteen patients with recurrent finger angioculoma underwent surgical resection. There were 2 males and 11 females, aged 17-38 years old. Among them, 4 were index finger, 5 were middle finger, and 2 were ring finger and little finger. The time from the first surgery to reoperation was the shortest in January, the longest was 5 years, an average of 1.3 years. Six of the 13 patients had been misdiagnosed as paronychia after surgery, with postoperative infection or foreign body wounds. In some cases preoperative color Doppler examination. Thirteen patients were treated surgically. Results All patients were diagnosed as glomusomas by pathological examination. After the operation, the triad of pain disappeared, and none of the wounds were infected. One patient had a small partial necrosis of the nail bed and healed after dressing change. The nail growth was not smoother in 4 cases. The satisfaction rate of finger appearance was 85.6%. Conclusion Correct understanding and diagnosis of recurrent glomus tumors, and select a reasonable surgical approach, complete removal of the tumor to reduce recurrence, is the key to good treatment outcomes.