摘要目的 探究采用手术切除血管球瘤的临床治疗效果.方法 自2006年2月至2015年7月,我们对35例甲下血管球瘤患者采用手术治疗,其中29例在头镜下采用Transungual术式,4例采用Lateral Subperiosteal术式,2例血管球瘤位于指腹位置较深采用经指腹切口.评估术前及术后6个月患指疼痛、复发及甲板畸形情况.结果 术后6个月随访主观疼痛症状缓解34例(97.0％),术后复发3例(8.6％).甲板畸形10例(28.5％),均为采用Transungual术式的患者;而采用Lateral Subperiosteal术式及指腹切口患者均未见畸形.结论 手术切除治疗甲下血管球瘤疼痛改善明显,复发率低,指甲生长出现甲板畸形与术式有关.

abstractsObjective To explore the clinical efficacy of surgical treatment for subungual glomus tumor.Methods From February 2006 to July 2015,35 patients with subungual glomus tumor were performed surgical treatment.Transungual approach was used in 29 patients and Lateral Subperiosteal approach was used in 4 patients under the microscope.2 cases of glomus tumor were located at the dcpth of the finger,and the finger pulp incision was adopted.The pain,recurrence and nail deformity of the fingers were evaluated before and 6 months after the operation.Results After 6 months of follow-up,34 cases (97.0％) relieved of subjective pain,and 3 cases (8.6％) recurred after operation.10 cases (28.5％) performed by Transungual occurred nail deformities,but no cases occurred by Lateral Subperiosteal and abdominal incision.Conclusion Surgical treatment of subungual glomus tumor has significant improvement in pain and low recurrence rate.The occurrence of nail deformity may be related to the surgical methods.