CAJ | 학술논문

目的：探讨下肢血管球瘤的诊断、治疗及病理观察的重要性以降低术后复发。方法收集2007年2月-2013年5月我院收治的10例下肢血管球瘤患者临床资料，患者均具有局部疼痛及固定压痛特点，术前行Love氏试验（＋），冷敏感实验，B超及MRI检查，全部病例均行肿瘤切除术治疗，术中取组织病理检查。结果术后平均随访1年，无患者复发，术前阳性症状完全消失，查体呈现阴性。结论患者术前行Love氏试验，B超及MRI检查，术中依据肿瘤病理形态特点行肿瘤及包膜完整切除，有助于下肢血管球瘤患者诊断、手术和预后，降低复发率。
목적：탐토하지혈관구류적진단、치료급병리관찰적중요성이강저술후복발。방법수집2007년2월-2013년5월아원수치적10례하지혈관구류환자림상자료，환자균구유국부동통급고정압통특점，술전행Love씨시험（＋），랭민감실험，B초급MRI검사，전부병례균행종류절제술치료，술중취조직병리검사。결과술후평균수방1년，무환자복발，술전양성증상완전소실，사체정현음성。결론환자술전행Love씨시험，B초급MRI검사，술중의거종류병리형태특점행종류급포막완정절제，유조우하지혈관구류환자진단、수술화예후，강저복발솔。
Objective To study the diagnosis ,treatment and pathological analysis of glomus tumor in lower limb to reduce the re-currence after operation .Methods The clinic data of 10 patients with glomus tumor in lower limb were collected ,who felt local pain and had fixed tenderness between February 2007 and May 2013.Love's pin test,Hildreth'test,and a cold sensitivity test, Ultrasono graphic imaging test and MRI were performed before operation .Glomus tumor of all patients were removed completely ,and histological examinations were confirmed .Result After an average follow-up of 1 year,there was no recurrence in patients ,preoperative positive symptoms disappeared entirely and body examination appearred negative .Conclusion Love's pin test,Ultrasono graphic imaging test and MRI before operation was useful of diagnosis , removing glomus tumor and capsule outside completely according to the feature of pathological analysis could reduce the the recurrence after operation .