作者分析过去4年中治疗的23例经组织学证实的腹壁硬纤维瘤,除1例外其余均为女性,大多数在24-35岁之间。本病好发于腹壁腱膜,常有局部复发,但罕见远处转移,挺腹试验阴性并不能排除肿物来源于腹壁。治疗应选用广泛切除,作者强调至少要切除1cm的肿瘤周围正常组织。全组手术后局部复发率为4％,低于多数报道。 The authors analyzed 23 cases of histologically proven abdominal wall desmoid tumors treated during the past 4 years. All except 1 were female, most of whom were 24-35 years old. This disease occurs in the abdominal wall of the aponeurosis, often local recurrence, but rare distant metastasis, negative abdominal test can not exclude the tumor from the abdominal wall. A wide range of resections should be used for treatment. The authors emphasized that at least 1 cm of normal tissue around the tumor should be removed. After the surgery, the local recurrence rate was 4%, which was lower than most reports.