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[骨转移性疾病外科治疗的范式转变。第二部分。脊柱转移瘤的治疗]

[Change of paradigm in the surgical treatment of metastatic diseases of the bone. Part II. Treatment of spinal metastases].

作者信息

Lazáry Áron, Szövérfi Zsolt, Varga Péter Pál

机构信息

Országos Gerincgyógyászati Központ Budapest, Királyhágó u. 1-3., 1126.

Mozgásszervi Daganatok Tanszéki Csoport, Semmelweis Egyetem, Általános Orvostudományi Kar Budapest.

出版信息

Orv Hetil. 2018 Feb;159(8):297-302. doi: 10.1556/650.2018.30930.

DOI:10.1556/650.2018.30930
PMID:29429358
Abstract

The incidence of spinal metastases is constantly growing, but due to the advancements in oncologic treatment methods, the survival and the quality of life of the patients are persistently improving. Choosing the optimal treatment method is essential, and several factors should be considered: type of the primary tumor, segmental stability, the symptoms caused by the metastasis and the general condition of the patient. Using modern radiotherapeutic methods combined with minimally invasive surgical techniques (minimally invasive stabilization, separation surgery) in the majority of patients permits adequate local control with low complication rate. In our review, we describe the state-of-the-art, modern spinal metastasis treatment options based on the recently published evidence. Orv Hetil. 2018; 159(8): 297-302.

摘要

脊柱转移瘤的发病率持续上升,但由于肿瘤治疗方法的进步,患者的生存率和生活质量在不断提高。选择最佳治疗方法至关重要,应考虑几个因素:原发肿瘤类型、节段稳定性、转移瘤引起的症状以及患者的一般状况。对大多数患者采用现代放射治疗方法结合微创外科技术(微创稳定术、分离手术)可实现充分的局部控制且并发症发生率低。在我们的综述中,我们根据最近发表的证据描述了最先进的现代脊柱转移瘤治疗选择。《匈牙利医学周报》。2018年;159(8):297 - 302。

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