经皮射频热凝术治疗指端甲下血管球瘤的效果

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Abstract Objective To investigate the efficacy and safety of percutaneous radiofrequency thermocoagulation in the treatment of fingertip subnail glomus tumor. Methods A total of seven patients with fingertip subnail glomus tumor admitted to the Outpatient of Department of Pain Medicine, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical College from October 2018 to May 2021 were selected and numbered in chronological order (No.1-7). All patients underwent ultrason-guided percutaneous radiofrequency thermocoagulation, and follow-up was completed after surgery (≥six months). Changes of visual analog scale (VAS) score were observed before and six months after surgery, and the appearance of the affected finger, cold sensitivity test, and Love test were recorded. Results No.1 patient developed skin scald during treatment and recovered two months after surgery. In order to prevent this situation, the operation was modified with normal saline, and no obvious adverse reactions were observed during the treatment of No.2-7 patients. VAS scores of all patients six months after surgery were higher than those before surgery, the difference was statistically significant (P ＜ 0.05). Cold sensitivity test results were negative in all patients six months after surgery. The Love test results of No.4 patient were suspicious six months after surgery, the results of other patients were negative. The pain of No.4 patient recurred 12 months after surgery, and the pain was completely relieved after surgical resection of the tumor. All patients had no damage to the skin and nail bed of the affected finger six months after surgery, and the appearance of the affected finger was normal. Conclusion Percutaneous radiofrequency thermocoagulation in the treatment of subungual glomus tumor of fingertips is easy to operate, which can effectively relieve pain, and has no complications such as nail bed injury or postoperative deformity. It can be used as a supplementary treatment in addition to surgical resection.

Key words： Glomus tumor Radiofrequency thermocoagulation Fingertip Pain

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	LI Jing HUANG Ying ZHU Tong MA Chao TAO Gaojian

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LI Jing HUANG Ying ZHU Tong MA Chao TAO Gaojian. Effect of percutaneous radiofrequency thermocoagulation in the treatment of fingertip subnail glomus tumor[J]. 中国医药导报, 2022, 19(23): 113-116.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I23/113

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