妊娠合并腹壁型硬纤维瘤一例并文献复习  

A Case of Pregnancy Complicated with Abdominal Wall Desmoid Tumour and Literature Review

作　　者：孙健豪 吴珍珍[1] 毛宝宏[1] 宋诚 张颖[2] 李阳[2] 刘青[2] SUN Jian-hao;WU Zhen-zhen;MAO Bao-hong;SONG Cheng;ZHANG Ying;LI Yang;LIU Qing(Gansu Province Maternity and Child Health Care Hospital,Lanzhou 730000,China;The First Clinical Medical College of Gansu University of Chinese Medicine,Lanzhou 730000,China)

机构地区：[1]甘肃省妇幼保健院,兰州730000 [2]甘肃中医药大学第一临床医学院

出　　处：《国际妇产科学杂志》2022年第6期683-686,共4页Journal of International Obstetrics and Gynecology

摘　　要：硬纤维瘤是一种少见的成纤维细胞增殖肿瘤,其特征为浸润性生长和局部复发倾向,根据生长位置分为腹外型、腹壁型和腹内型,妊娠合并腹壁型硬纤维瘤更为少见。回顾性分析甘肃省妇幼保健院收治1例患者剖宫产术后触及腹部瘢痕处包块,再次妊娠期间监测包块逐渐增大,通过术前穿刺考虑为妊娠合并腹壁型硬纤维瘤,在胎儿足月后行剖宫产术及腹壁肿物切除术的诊治经过,并结合相关文献,了解硬纤维瘤的诊断、治疗及妊娠期的处理原则,以期为疾病的诊治提供经验。Desmoid tumors are rare fibroblast-proliferating tumors characterized by infiltrative growth and a tendency to local recurrence and are classified into the extra-abdominal,abdominal wall and intra-abdominal types according to the location of growth.Pregnancy with abdominal wall desmoid tumors is even rarer.This study retrospectively analyzed a patient who was treated in Gansu Province Maternity and Child Health Care Hospital with a mass in the abdominal scar after cesarean section,and the mass gradually increased during the re-pregnancy monitoring.The preoperative puncture was considered to be pregnancy complicated with abdominal wall desmoid tumor,and the cesarean section and abdominal wall tumor resection were performed after the fetus was full-term.Combined with the relevant literature,to understand the diagnosis,treatment,and treatment principles of desmoid tumors,in order to provide experience for the diagnosis and treatment of the disease.

关 键 词：纤维瘤病 侵袭性 妊娠 腹壁 剖宫产术 活组织检查 针吸 

分 类 号：R714.25[医药卫生—妇产科学] R735.5[医药卫生—临床医学]