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目的探讨腹壁侵袭性纤维瘤病11例的临床特征及外科诊疗。方法回顾性分析腹壁侵袭性纤维瘤病患者11例的临床资料。结果彩超检查示10例术前病理未明确者均提示腹壁肌层软组织肿块,边界不清。CT检查示腹壁肌层内见边界欠清的低回声或密度偏高的实质性肿块。本组均行手术切除,腹壁肿块直径4~11cm,切缘距肿瘤2~3cm。手术无一例死亡,切口均Ⅰ期愈合。10例首次手术患者均行术后放疗,术后无复发或进展。11例均无切口疝发生。结论腹壁侵袭性纤维瘤病结合临床表现、影像学及病理学检查可明确诊断。治疗关键为首次手术切除范围需扩大,建议术后常规加行局部放疗。
Objective To investigate the clinical features and surgical diagnosis and treatment of 11 cases of abdominal wall invasive fibromatosis. Methods The clinical data of 11 patients with abdominal wall invasive fibromatosis were analyzed retrospectively. The results of color Doppler ultrasound examination showed that 10 cases of preoperative and pathological findings were prompted soft tissue mass abdominal wall, the border is unclear. CT examination showed abdominal wall muscular see less clear hypoechoic or high density of substantial mass. This group of patients underwent surgical resection, abdominal wall mass diameter 4 ~ 11cm, margin from the tumor 2 ~ 3cm. No one died of surgery, incision healed. Ten patients underwent the first postoperative radiotherapy, no recurrence or progression after surgery. Eleven patients had no incisional hernia. Conclusion Abdominal invasion of invasive fibromatosis combined with clinical manifestations, imaging and pathological examination can confirm the diagnosis. The key for the treatment of the first surgical resection needs to be expanded, it is recommended routine postoperative local radiotherapy.