转移性脊柱肿瘤的外科治疗
Surgical treatment of metastatic spinal tumor.
作者信息
Xu Hongguang, Wang Yipeng, Qiu Guixing, Ye Qibin, Zhang Jia
机构信息
Department of Orthopedic Surgery, Peking Union Medical College Hospital, CAMS & PUMC, Beijing 100730.
出版信息
Chin Med Sci J. 2002 Sep;17(3):183-8.
OBJECTIVES
To evaluate the effect of surgical treatment on metastatic spinal tumor.
METHODS
The results of surgical intervention for metastatic spinal tumor of 31 consecutive patients since October 1985 were reviewed.
RESULTS
The average survival time was 17.6 months (range from 3 months to 9 years), and 4 patients are still alive with an average survival time of 24.6 months (range, 14 to approximately 84 months). No postoperative complication was noted. The preoperative symptoms were partially relieved and neurological functions were improved after surgery.
CONCLUSION
Surgical treatment for metastatic spinal tumor could improve the life quality, but should be adopted cautiously. The surgical procedures such as decompression and internal fixation should be involved only when neurological deficits occurred. The surgery with postoperative complementary therapy may not only improve the life quality, but also extend the patients' life span.
目的
评估手术治疗对转移性脊柱肿瘤的效果。
方法
回顾了自1985年10月以来连续31例转移性脊柱肿瘤患者的手术干预结果。
结果
平均生存时间为17.6个月（范围从3个月至9年），4例患者仍存活，平均生存时间为24.6个月（范围，14至约84个月）。未观察到术后并发症。术前症状部分缓解，术后神经功能得到改善。
结论
转移性脊柱肿瘤的手术治疗可改善生活质量，但应谨慎采用。仅在出现神经功能缺损时才应进行减压和内固定等手术操作。术后辅以治疗的手术不仅可以改善生活质量，还可以延长患者的寿命。
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