CAJ | 학술논문

[目的]总结肌内血管瘤(IMH)的临床特点、诊断方法和手术治疗经验.[方法]收集1995年1月至2010年6月行手术切除并经病理证实的58例IMH完整病例,总结分析临床特点和辅助检查的临床价值,描述手术方式,提出手术要点.[结果]所有病例均行手术切除治疗,连带受侵犯的正常肌肉一并完整切除肿瘤,但有2例因肿瘤侵犯膝关节囊和整个股外侧肌,未能完整切除,但术后症状明显减轻,并且肿瘤未有进一步生长.随访33例,时间18个月至13年,平均5.5年.2例复发,因复发肿瘤发展缓慢,患者无症状,未行进一步治疗.无感染病例,无恶变病例.[结论]IMH临床常以局部疼痛,或同时伴有肿物,或者仅以发现肿物为表现.疼痛往往在运动后加重.结合辅助检查可以确诊.怀疑恶性肿瘤时术前须行病理明确.手术切除是主要治疗方法,术后复发率低.
[목적]총결기내혈관류(IMH)적림상특점、진단방법화수술치료경험.[방법]수집1995년1월지2010년6월행수술절제병경병리증실적58례IMH완정병례,총결분석림상특점화보조검사적림상개치,묘술수술방식,제출수술요점.[결과]소유병례균행수술절제치료,련대수침범적정상기육일병완정절제종류,단유2례인종류침범슬관절낭화정개고외측기,미능완정절제,단술후증상명현감경,병차종류미유진일보생장.수방33례,시간18개월지13년,평균5.5년.2례복발,인복발종류발전완만,환자무증상,미행진일보치료.무감염병례,무악변병례.[결론]IMH림상상이국부동통,혹동시반유종물,혹자부이발현종물위표현.동통왕왕재운동후가중.결합보조검사가이학진.부의악성종류시술전수행병리명학.수술절제시주요치료방법,술후복발솔저.
[Objective]To analyze the clinical feature,diagnostic Methodsand surgical management of intramuscular hemangioma(IMH).[Methods] This retrospective study included 58 cases of IMH surgically treated with the definitive histological diagnosis from January 1995 to June 2010.The clinical feature and value of the auxiliary examinations were analyzed.The procedure of surgery was described and the main points were put forward.[Results] All the cases were treated surgically,and all the tumors were excised totally with some normal muscle involved except 2 cases involved with the knee or the vastus lateralis.33 of 58 cases were followed up for an average of five and half years.Only 2 cases bad local recurrence,but the recurred tumors were developed so slowly that the patients were not asked to be treated further,and none were infectant or transformed malignantly.[Conclusions]Clinical manifestation of IMH is 1ocal pain or/and bump.With the auxiliary examination,especially MRI,IMH is easy to diagnose,but sometimes it is critical to confirmed by histological diagnosis when it is considered to be malignant.Surgical excision is the main treatment.Recurrence rate is small.