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微创技术在脊柱转移瘤治疗中的应用与发展。

Application and Development of Minimally Invasive Techniques in the Treatment of Spinal Metastases.

机构信息

Science and Education Department, Shenzhen Baoan Shiyan People's Hospital, Shenzhen, China.

Central Laboratory, The People's Hospital of Baoan Shenzhen, The Second Affiliated Hospital of Shenzhen University, Shenzhen, China.

出版信息

Technol Cancer Res Treat. 2022 Jan-Dec;21:15330338221142160. doi: 10.1177/15330338221142160.

Abstract

With the improvement of medical technology, the quality of life and prognosis of patients with malignant tumors have been greatly improved, and surgical treatment strategies for patients with spinal metastatic tumors have received extensive attention. Traditional open surgery for spinal metastases has problems such as large trauma, slow recovery, and influence on subsequent systemic treatment. Minimally invasive spine surgery has similar clinical outcomes to traditional open surgery, but minimally invasive spine surgery is less invasive and has a shorter recovery time. Minimally invasive spine surgery was initially applied to non-neoplastic diseases such as spinal degeneration and trauma, and was gradually applied to the treatment of spinal metastatic tumors and spinal deformities. For patients with spinal metastases, a shorter recovery time is helpful for early postoperative radiotherapy, thereby achieving a more satisfactory tumor control effect. This review discusses the application of minimally invasive spine surgery in the treatment of spinal metastatic tumors from the concept, surgical purpose, indications, and surgical selection, so as to provide reference for clinical practice.

摘要

随着医疗技术的提高,恶性肿瘤患者的生活质量和预后得到了极大改善,脊柱转移瘤患者的手术治疗策略受到了广泛关注。传统的脊柱转移瘤开放性手术创伤大、恢复慢,且影响后续的系统治疗。微创脊柱外科手术与传统开放性手术具有相似的临床效果,但微创脊柱外科手术创伤更小,恢复时间更短。微创脊柱外科手术最初应用于非肿瘤性疾病,如脊柱退行性变和创伤,后来逐渐应用于脊柱转移瘤和脊柱畸形的治疗。对于脊柱转移瘤患者来说,较短的恢复时间有助于术后早期进行放疗,从而达到更满意的肿瘤控制效果。本文从概念、手术目的、适应证和手术选择等方面探讨了微创脊柱外科手术在脊柱转移瘤治疗中的应用,以期为临床实践提供参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd29/9742696/48f685ffccf5/10.1177_15330338221142160-fig1.jpg

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