经甲旁切口入路与经甲床切口入路治疗甲下血管球瘤的疗效分析
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摘要
目的对比分析经甲旁切口入路与经甲床切口入路治疗甲下血管球瘤的临床效果。方法回顾性分析2010年4月-2017年12月收治的26例手指甲下血管球瘤患者,采用两种不同入路方法行血管球瘤切除术的临床资料。随机分两组,A组经甲旁切口入路行血管球瘤切除术11例,B组经甲床切口入路行血管球瘤切除术15例,运用SPSS 19.0统计学软件进行数据处理,并对其手术平均时间、术后渗液、术后甲床不贴附、甲嵴、术后愈合时间及患者重返工作岗位时间进行观察比较。结果经甲旁切口入路行血管球瘤切除术手术时间长,偶有发生感染,但术后愈合时间及患者重返工作岗位时间较短。经甲床切口入路行血管球瘤切除术手术时间短,易发生甲下积血积液、甲床不贴附或甲嵴,因指端无指甲的保护,术后愈合时间及患者重返工作岗位时间较长。结论经甲旁切口入路相比经甲床切口入路行血管球瘤切除术有明显的优势,手术并发症少,术后恢复时间短。
Objective To compare the clinical effect of the paranail incision approach and the nail bed incision approach on subungual glomus tumor. Methods Retrospective analysis of 26 subungual glomus tumor patients from Apr 2010 to Dec 2017, who were treated by two different incision approach. The cases were randomly divided into two groups, group A was treated with paranail incision approach to treat glomus tumor resection in 11 cases, B group with nail bed incision approach for glomus tumor resection in 15 cases, data was processed using SPSS 19 statistical software, and the average duration of the operation, the postoperative exudate, attached bed a crest, postoperative healing time of patients to return to work and rest time were observed and compared. Results The paranail incision glomus tumor resection surgery needed a longer operation time, easy occurrence of subungual hemorrhage effusion,occasional occurrence of infection, but the postoperative healing time of patients to return to work and rest needed a shorter time. The nail bed incision for resection of glomus tumor needed shorter operative time, was prone to a bed without sticking or a ridge, due to the protection of finger nails, longer time to return to work, rest time and healing time was longer. Conclusion The paranail incision compared with nail bed incision glomus tumor resection has obvious advantages, such as less complications, shorter postoperative recovery time.
Objective To compare the clinical effect of the paranail incision approach and the nail bed incision approach on subungual glomus tumor. Methods Retrospective analysis of 26 subungual glomus tumor patients from Apr 2010 to Dec 2017, who were treated by two different incision approach. The cases were randomly divided into two groups, group A was treated with paranail incision approach to treat glomus tumor resection in 11 cases, B group with nail bed incision approach for glomus tumor resection in 15 cases, data was processed using SPSS 19 statistical software, and the average duration of the operation, the postoperative exudate, attached bed a crest, postoperative healing time of patients to return to work and rest time were observed and compared. Results The paranail incision glomus tumor resection surgery needed a longer operation time, easy occurrence of subungual hemorrhage effusion,occasional occurrence of infection, but the postoperative healing time of patients to return to work and rest needed a shorter time. The nail bed incision for resection of glomus tumor needed shorter operative time, was prone to a bed without sticking or a ridge, due to the protection of finger nails, longer time to return to work, rest time and healing time was longer. Conclusion The paranail incision compared with nail bed incision glomus tumor resection has obvious advantages, such as less complications, shorter postoperative recovery time.
引文
[1]鲁飞,张友乐,田光磊,等.甲外血管球瘤诊断与治疗的相关因素分析[J].中华手外科杂志,2011,27(1):24-26.
[2]王培吉,张勇,赵家举.经甲床旁切口治疗手指末节血管球瘤[J].中华手外科杂志,2013,29(5):284-286.
[3]陈兵.手术治疗手部血管球瘤的临床疗效[J].实用手外科杂志,2016,30(1):109-110.
[4]苏彦农,张友乐,田光磊,等.39例手指血管球瘤的临床分析[J].实用手外科杂志,2004,20(1):34-36.
[5]张君,魏壮,李庆霖,等.血管球瘤80例临床分析及病因探讨[J].中华手外科杂志,2003,19(4):238-239.
[6]苏庆军,曲铁兵,潘江,等.手指血管球瘤26例临床分析[J].中华手外科杂志,2005,21(1):38-39.
[7]薛云皓,田文,田光磊,等.32例甲外血管球瘤的临床分析[J].实用手外科杂志,2010,26(3):152-153.
[8]范志娜,吴刚,袁建军,等.高频超声在甲下血管球瘤术前诊断中的价值[J].中华手外科杂志,2016,32(4):309-310.
[9]徐林,张咸中,李黎明,等.指甲活页开窗显微外科手术切除甲下血管球瘤[J].中华显微外科杂志,2009,32(3):246-247.
[10]Roan TL,Chen CK,Horng SY,et a1.Surgical technique innovation for the excision of subungual glomus tumors[J].Dermatol Surg,2011,37(2):259-262.
[11]田光磊,王澍寰,朱瑾,等.甲床甲体增长术[J].实用手外科杂志,2012,26(3):203-206.
[2]王培吉,张勇,赵家举.经甲床旁切口治疗手指末节血管球瘤[J].中华手外科杂志,2013,29(5):284-286.
[3]陈兵.手术治疗手部血管球瘤的临床疗效[J].实用手外科杂志,2016,30(1):109-110.
[4]苏彦农,张友乐,田光磊,等.39例手指血管球瘤的临床分析[J].实用手外科杂志,2004,20(1):34-36.
[5]张君,魏壮,李庆霖,等.血管球瘤80例临床分析及病因探讨[J].中华手外科杂志,2003,19(4):238-239.
[6]苏庆军,曲铁兵,潘江,等.手指血管球瘤26例临床分析[J].中华手外科杂志,2005,21(1):38-39.
[7]薛云皓,田文,田光磊,等.32例甲外血管球瘤的临床分析[J].实用手外科杂志,2010,26(3):152-153.
[8]范志娜,吴刚,袁建军,等.高频超声在甲下血管球瘤术前诊断中的价值[J].中华手外科杂志,2016,32(4):309-310.
[9]徐林,张咸中,李黎明,等.指甲活页开窗显微外科手术切除甲下血管球瘤[J].中华显微外科杂志,2009,32(3):246-247.
[10]Roan TL,Chen CK,Horng SY,et a1.Surgical technique innovation for the excision of subungual glomus tumors[J].Dermatol Surg,2011,37(2):259-262.
[11]田光磊,王澍寰,朱瑾,等.甲床甲体增长术[J].实用手外科杂志,2012,26(3):203-206.