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一、临床资料:男性,20岁,因右手背无痛性包块一年收住院。患者于一年前无意中发现右手背侧有一“杏仁”大小的包块,局部皮肤无红肿及不适感,当时未引起足够的重视,此后包块逐渐增大,自感酸胀不适,随来我院就诊,经门诊以“右手掌骨瘤性质待定”收入院。入院本体:一般状况良好,心、肺、腹无异常,右手第Ⅲ掌骨背侧有一个1.5cm×2.0cm大小的骨性突起,质硬,表面光滑,边界清楚,轻度压痛,无移动度,右手指活动自如,无麻木感,末梢小循环良好。治疗经过:入院后经积极的术前准备,在臂丛麻醉下行右手掌骨骨瘤
First, the clinical data: Male, 20 years old, due to the right hand back painless mass one-year admission. The patient inadvertently discovered that there was an amygdala mass on the dorsal side of his right hand a year ago. There was no redness and discomfort on the local skin. At that time, he did not pay enough attention. Afterwards, the mass was gradually enlarged and he felt sore and discomfort. In our hospital, the clinic was admitted to the hospital with the property of “right hand osteoma tumor to be determined”. Admission body: generally good condition, no abnormalities in heart, lungs and abdomen. There is a bony prominence of 1.5cm x 2.0cm on the back of the right metacarpal of the third metacarpal bone. It is hard, smooth surface, clear boundary, mild tenderness, no mobility. Right hand activity, no numbness, and good peripheral circulation. After the treatment: after admission, after active preoperative preparation, the right palmar osteoma tumor under brachial plexus anesthesia