妊娠合并腹壁型硬纤维瘤一例并文献复习

doi:10.12280/gjfckx.20220338

国际妇产科学杂志 ›› 2022, Vol. 49 ›› Issue (6): 683-686.doi: 10.12280/gjfckx.20220338

• 产科生理及产科疾病：病例报告 • 上一篇下一篇

妊娠合并腹壁型硬纤维瘤一例并文献复习

孙健豪¹, 吴珍珍¹, 毛宝宏¹, 宋诚¹, 张颖¹, 李阳¹, 刘青¹()

1730000 兰州，甘肃省妇幼保健院（孙健豪，吴珍珍，毛宝宏，刘青）；甘肃中医药大学第一临床医学院（孙健豪，宋诚，张颖，李阳，刘青）

收稿日期:2022-05-04 出版日期:2022-12-15 发布日期:2023-01-11
通讯作者: 刘青 E-mail:2305470816@qq.com

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

SUN Jian-hao¹, WU Zhen-zhen¹, MAO Bao-hong¹, SONG Cheng¹, ZHANG Ying¹, LI Yang¹, LIU Qing¹()

Gansu Province Maternity and Child Health Care Hospital, Lanzhou 730000, China (SUN Jian-hao, WU Zhen-zhen, MAO Bao-hong, LIU Qing);The First Clinical Medical College of Gansu University of Chinese Medicine, Lanzhou 730000, China (SUN Jian-hao, SONG Cheng, ZHANG Ying, LI Yang, LIU Qing)

Received:2022-05-04 Published:2022-12-15 Online:2023-01-11
Contact: LIU Qing E-mail:2305470816@qq.com

摘要/Abstract

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。

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

Abstract:

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.

Key words: Fibromatosis, aggressive, Pregnancy, Abdominal wall, Cesarean section, Biopsy, needle

孙健豪, 吴珍珍, 毛宝宏, 宋诚, 张颖, 李阳, 刘青. 妊娠合并腹壁型硬纤维瘤一例并文献复习[J]. 国际妇产科学杂志, 2022, 49(6): 683-686.

SUN Jian-hao, WU Zhen-zhen, MAO Bao-hong, SONG Cheng, ZHANG Ying, LI Yang, LIU Qing. A Case of Pregnancy Complicated with Abdominal Wall Desmoid Tumour and Literature Review[J]. Journal of International Obstetrics and Gynecology, 2022, 49(6): 683-686.

图/表 4

图1 妊娠20+3周患者超声图注：箭头所示为壁切口皮下肌层内探及包块。

图2 妊娠26+4周患者行超声引导下左侧腹直肌肿物穿刺术注：箭头所示为超声引导下行左侧腹直肌肿物穿刺术。

图3 术后腹壁肿物大体标本

图4 腹壁肿物病理图（HE染色×100）

参考文献 11

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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

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