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目的 探讨恶性肿瘤腹壁种植转移的病因、预防和治疗。方法 对 7例腹壁种植转移瘤的临床资料进行回顾性分析。结果 本组病例在操作中均未采取有效的预防种植的措施。 2例活检未切除 ,其余 5例肿瘤切除并辅以放疗和 或化疗。 1例局部复发再手术后 34个月死亡 ,2例均活检后 1个月死亡 ,其余 4例随访 3～ 2 7个月存活。结论 肿瘤细胞的脱落及腹壁未采取有效保护措施是造成腹壁种植转移的主要原因。应避免肿瘤细胞与切口的直接接触。腹壁种植转移瘤的处理应根据腹腔内转移及全身情况来决定。
Objective To investigate the cause, prevention and treatment of metastasis of abdominal wall in malignant tumors. Methods The clinical data of 7 cases of abdominal metastases were retrospectively analyzed. Results No effective measures were taken to prevent planting in this group of patients. Two cases of biopsy were not removed, and the remaining 5 cases were resected and supplemented with radiotherapy and/or chemotherapy. One patient died after 34 months of local recurrence and reoperation, and 2 patients died 1 month after biopsy. The remaining 4 patients survived 3 to 27 months after follow-up. Conclusion Ablation of tumor cells and lack of effective protective measures on the abdominal wall are the main reasons for the migration of the abdominal wall. Direct contact between the tumor cells and the incision should be avoided. The treatment of metastatic tumors in the abdominal wall should be based on intra-abdominal metastasis and general conditions.