Hartwig E, Kinzl L, Schultheiss M, Sarkar M
Klinik für Unfall-, Hand- und Wiederherstellungschirurgie Universität Ulm.
MMW Fortschr Med. 2004 May 20;146(21):31-2, 34, 36.
Advances in the treatment of tumors have improved the life expectancy of cancer patients appreciably. As a consequence the incidence of bone metastases has also increased. Surgical interventions must achieve a maximal palliative effect with minimal morbidity and mortality. Major objectives are reduction of pain while preserving stability and function. Surgical treatment of primary and secondary bone tumors is complicated and thus also burdened with complications. However, interdisciplinary therapy comprising surgical resection and stabilization, radiotherapy and/or chemotherapy improves life expectancy and the quality of life of the cancer patient.
肿瘤治疗的进展显著提高了癌症患者的预期寿命。因此,骨转移的发生率也有所增加。手术干预必须以最小的发病率和死亡率实现最大的姑息效果。主要目标是在保持稳定性和功能的同时减轻疼痛。原发性和继发性骨肿瘤的手术治疗很复杂,因此也容易出现并发症。然而,包括手术切除和稳定、放疗和/或化疗在内的多学科治疗可提高癌症患者的预期寿命和生活质量。