[脊柱转移性肿瘤的外科治疗]
[Surgical treatment of spine metastatic tumor].
作者信息
Xu Hong-guang, Ye Qi-bin, Qiu Gui-xing, Wang Yi-peng, Zhang Jia, Chou Ke
机构信息
Department of Orthopaedics, PUMC Hospital, CAMS, PUMC, Beijing 100730, China.
出版信息
Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2002 Feb;24(1):76-8.
OBJECTIVE
To explore the value of surgical treatment on spine metastatic tumor.
METHODS
31 cases of spine metastatic tumor with severe pain or/and neurological deficit were selected and treated with various operative methods.
RESULTS
Except for 4 cases, all the patients survived from 3 months to 7 years (average 17.6 months). The patients had no complication during treatment. The symptoms and neurological functions recovered with various extent after operation.
CONCLUSIONS
Surgical treatment should cautiously be adopted. When the spine metastatic tumor with severe pain and neurological deficit has no response to the conservative methods, the surgical treatment with decompression and internal fixation should be performed to improve the life quality for the patients.
目的
探讨脊柱转移瘤的外科治疗价值。
方法
选取31例伴有严重疼痛和/或神经功能缺损的脊柱转移瘤患者，采用多种手术方法进行治疗。
结果
除4例外，所有患者存活3个月至7年（平均17.6个月）。患者在治疗期间无并发症发生。术后症状及神经功能有不同程度恢复。
结论
应谨慎采用外科治疗。当伴有严重疼痛和神经功能缺损的脊柱转移瘤对保守治疗无效时，应行减压及内固定手术治疗，以提高患者生活质量。
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