| 腹壁硬纤维瘤的治疗 |
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| 引用本文： | 杜宽航 汪智民. 腹壁硬纤维瘤的治疗[J]. 上海医学, 1998, 21(6): 331-332 |
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| 作者姓名： | 杜宽航 汪智民 |
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| 作者单位： | 上海第二医科大学附属第九人民医院!200011(杜宽航，王海，卜文，邬寿贞，姚德成)，上海市奉贤县中医院(汪智民)，上海市宛平医院(童新辉) |
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| 摘 要： | 探讨自体阔筋膜移植或结合腹直肌前鞘翻转成形加自体阔筋膜移植，在修复硬纤维瘤切除后腹壁大缺损的作用。方法；在大腿外侧面作平行的二个皮肤纵形切口，皮下潜行分离后用切割器切除阔筋膜，并进行０．５厘米重叠的褥式缝合修补缺损。
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| 关 键 词： | 腹壁硬纤维瘤 腹壁缺损 自体阔筋膜移植 |
Treatment of abdominal desmoid tumors |
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| Du Kuanhang,Wang Hai,Wang Zhiming,et al.. Treatment of abdominal desmoid tumors[J]. Shanghai Medical Journal, 1998, 21(6): 331-332 |
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| Authors: | Du Kuanhang Wang Hai Wang Zhiming et al. |
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| Abstract: | Objective:To estimate the role of autologous fascia lata graft in repairing the excisional defect followingexcision of abdominal desmoid tumors. Methods:Two paralled longitudinal skin incisions and subcutaneous underminingwas made to allow introduction of the resector for excision of fascia lata graft. The graft was by matress suture and0.5cm tissue interposed at the defect. In case of big defect,anterior rectus sheath flap was placed in addition. Results:In11 cases having desmoid tumors of diameter over 3 cms,direct suture closure of the defect resulted in 3 local recurrences,whereas no local recurrence in 6 cases was with fascia lata repair. Conclusions:Wide excision of the desmoid tumors is the only measure against local recurrence and fascia lata graft closure of the defect is the safeguard in wide excision for the tumor. |
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| Keywords: | Abdominal desmoid tumor Excisional abdominal defect Autologous fascia lata graft repair |
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