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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。
To investigate the effect of transplantation of autologous fascia lata graft combined with anterior rectus sheath incision plus autologous fascia lata graft on the repair of large abdominal wall defects after desmoidectomy. METHODS: Two longitudinal skin incisions were made on the lateral side of the thighs. After subcutaneous occultation, the fascia lata was removed with a cutter, and a 0.5 cm overlapped zygomatic suture was used to repair the defect. Rectoplasty of the rectus sheath can complement the repair of large defects. RESULTS: After 11 cases of desmoid tumors with a diameter greater than 3 cm were removed, 5 cases had local tumor recurrence after direct suturing of the abdominal wall defect, and 6 cases showed no recurrence with autologous fascia lata. Conclusion: The resection of the abdominal wall desmoid tumor is an effective means to prevent local recurrence, and the repair of the abdominal wall defect with the auto fascial fascia provides a safety guarantee for expanding the tumor.