腹壁韧带样纤维瘤的术后腹壁重建的治疗研究  

Treatment of the postoperative abdominal defect of the abdominal desmoid type fibromatosis

作　　者：刘静[1] 陈杰[1] 申英末[1] 朱熠林[1] 

机构地区：[1]首都医科大学附属北京朝阳医院(西区)疝和腹壁外科,100043

出　　处：《中华疝和腹壁外科杂志（电子版）》2018年第1期22-25,共4页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

基　　金：北京市自然科学基金资助项目(7152064);北京市医管局扬帆计划(XMLX201602)

摘　　要：目的探讨人工补片在韧带样纤维瘤病术后腹壁重建中的临床疗效。方法回顾性分析2012年2月至2016年2月,首都医科大学附属北京朝阳医院收治的11例腹壁韧带样纤维瘤病患者的临床资料,所有患者行根治性手术,术后腹壁缺损使用人工补片行腹壁重建,分析其临床疗效。结果所有患者均使用人工补片行腹壁重建,平均手术时间(97±33)min,平均住院时间(19.2±3.1)d,所有患者术后恢复良好,伤口Ⅰ期愈合,无伤口感染及局部异物感,无死亡患者,出现皮下积液者1例,经穿刺抽吸后治愈。随访时间7~60个月,平均随访时间(31.8±18.5)个月,肿瘤复发1例,无死亡患者,无补片感染、慢性疼痛及局部异物感等补片相关并发症,无肠梗阻及切口疝发生。结论人工补片用于腹壁重建具有良好的临床疗效。Objective To study the clinical effect of the postoperative abdominal wall reconstruction with synthetic mesh for abdominal desmoid type fibromatosis（DTF）. Methods Clinical data of 11 patients with abdominal desmoid type fibromatosis during February 2012 to February 2016 in Beijing Chao-Yang Hospital were retrospectively collected. The abdominal wall of the patients who underwent tumor radical surgery were reconstructed with synthetic mesh. Results All the patients were successfully treated with synthetic mesh to reconstruct the abdominal wall. The mean operation time was 97±33 min, and the mean hospitalization was 19.2±3.1 days. All the patients recovered uneventfully. No wound infections and foreign body feelings were recorded in our study. Subcutaneous hydrops occurred in 1 patient who finally recovered uneventfully by puncture aspiration. During the follow-up time of 7-60 months（the median follow-up time was 31.8±18.5 months）, there were no mortalities, and 1 patient suffered tumor recurrence. There were no mesh infections and mesh-related complications. No incisional hernias and intestinal obstructions were observed. Conclusion Abdominal wall reconstruction with synthetic mesh shows favorable clinical effect.

关 键 词：腹壁韧带样纤维瘤病 腹壁重建 人工补片 

分 类 号：R735.5[医药卫生—肿瘤]