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[目的]探讨腹壁韧带样瘤的临床特点和治疗方法。[方法]回顾分析1988年1月～2007年12月收治的84例腹壁韧带样瘤患者的临床资料,其中首次治疗69例,外院治疗后复发15例,全组病例均经手术治疗,5例手术后有残留者给予术后放疗。[结果]全组84例病例中,79例患者行广泛切除术,5例姑息性切除,留有肉眼肿瘤残留。行广泛切除术者中,73例病理切缘阴性,6例病理切缘阳性,其中69例首次治疗患者中,64例获得病理切缘阴性,外院治疗后复发病例15例中,5例姑息性切除者皆留有肉眼肿瘤残留;9例病理切缘阴性。切缘阴性局部复发率6.8%,切缘阳性复发率为33%。术后残留病例经放疗后,2例肿瘤消退,1例消退后3年复发再手术,2例稳定。[结论]手术是治疗腹壁韧带样瘤的首要治疗方法,首次治疗的正确性和获得病理切缘阴性对控制局部复发非常重要,放疗是对手术不彻底的有效补充治疗手段。
[Objective] To explore the clinical features and treatment of abdominal wall ligament-like tumor. [Methods] The clinical data of 84 patients with abdominal wall ligament-like tumor admitted from January 1988 to December 2007 were retrospectively analyzed. Among them, 69 cases were treated for the first time and 15 cases were relapsed after the hospital was treated. All cases were treated by surgery and 5 cases Residual after surgery to give postoperative radiotherapy. [Results] Of the 84 patients in the whole group, 79 patients underwent extensive resection and 5 patients underwent palliative resection with residual tumor. Among the 69 patients who underwent extensive excision, 73 were negative for pathology and 6 were pathologically positive, of which 64 were negative for pathological margin in 69 of the first-time treated patients, and 15 were recurrent in the out-of- All patients underwent resection with a gross tumor residue; 9 cases were negative for pathological margin. The negative local recurrence rate was 6.8%, the positive marginal recurrence rate was 33%. After radiotherapy, two cases of tumor subsided, one case of relapse after 3 years of regress and 2 cases of stable operation. [Conclusion] Surgery is the primary treatment for the treatment of abdominal wall ligament-like tumor. The correctness of the first treatment and negative negative margins are very important for the control of local recurrence. Radiotherapy is an effective supplementary treatment for incomplete operation.