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。腹直肌前鞘翻转成形可补充修补巨大缺损。结果：11例直径大于3厘米的硬纤维瘤切除后，5例直接缝合腹壁缺损的有3例局部肿瘤复发，而6例用自体阔筋膜修补的无一例复发。结论：扩大腹壁硬纤维瘤的切除是防止局部复发的有效手段，而自体阔筋膜修补腹壁缺损为扩大切除肿瘤提供安全保证。
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.
出处
《上海医学》
CAS
CSCD
北大核心
1998年第6期331-332,共2页
Shanghai Medical Journal
关键词
腹壁硬纤维瘤
腹壁缺损
自体阔筋膜移植
Abdominal desmoid tumor Excisional abdominal defect Autologous fascia lata graft repair
