腹壁外侵袭性纤维瘤病的手术治疗  

Surgical Treatment of Extra-abdominal Aggressive Fibromatosis

作　　者：王坤[1] 尹望平[1] 

机构地区：[1]复旦大学附属金山医院骨科,上海200540

出　　处：《中国临床医学》2007年第2期265-266,共2页Chinese Journal of Clinical Medicine

摘　　要：目的:探讨腹壁外侵袭性纤维瘤的治疗,重点为手术治疗。方法:回顾分析34例腹壁外侵袭性纤维瘤,经手术治疗并病理确诊。结果:全组34例腹壁外侵袭性纤维瘤,局部姑息性切除复发率63．6％,广泛切除复发率20％,根治切除无复发。结论:腹壁外侵袭性纤维瘤复发率高,广泛或根治切除并保持切缘阴性,是减少术后复发的有效方法。Objective：To evaluate the treatment methods of the extra-abdominal aggressive fibromatosis（AF）, especially the surgical treatment. Methods.. We conducted a retrospective study of 34 patients surgically treated from 1994-2004. Diagnosis of AF was confirmed by histological examination. Results：Among 34 patients, 11 were underwent palliative surgery. The recurrence rate was 63.6%, 20 cases were underwent wide excision, The recurrence rate was 20%. 3 cases were underwent radical dissection, and without recurrence. Conclusion： AF has characteristic of aggressive growth and high recurrence rate. Wide or radical resection with negative margines may be effect to minimize recurrence.

关 键 词：纤维瘤病 侵袭性 外科手术 复发 

分 类 号：R730.262[医药卫生—肿瘤]