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[胸腰椎区域椎体转移瘤腹侧稳定术的经验]

[Experiences with ventral stabilization in vertebral metastases in the area of the thoracic and lumbar spine].

作者信息

Lack W, Eyb R, Ramach W, Kotz R, Salzer M, Wagner O, Sunder-Plassmann M, Braun O

机构信息

Orthopädische Universitätsklinik Wien.

出版信息

Z Orthop Ihre Grenzgeb. 1987 May-Jun;125(3):268-74. doi: 10.1055/s-2008-1044726.

Abstract

43 cases of tumor resection followed by ventral stabilisation are reported in 42 patients with metastases in the spine. Indications for surgery were beginning or incomplete transversal lesion of the spinal cord, bedrest for at least 3 weeks, unsusceible pain caused by instability, or unsuccessful conservative and radiotherapeutic treatment. 46.5% of the cases can be rated as good considering the time of survival and life quality, 18.5% can be judged as a partial success. 7 patients hat to be reoperated in the same level, most of them because of local recurrence. Complications occurred in 40% of the cases. These operations should be performed by a "term of specialists". Postoperative treatment with isotope-, hormone- or radiotherapy is decisive to obtain good results.

摘要

报告了42例脊柱转移瘤患者行肿瘤切除并腹侧稳定术的43个病例。手术指征为脊髓开始出现或不完全横贯性损伤、至少卧床休息3周、因不稳定导致难以忍受的疼痛,或保守治疗和放射治疗失败。考虑到生存时间和生活质量,46.5%的病例可评为良好,18.5%可判定为部分成功。7例患者在同一节段再次手术,大多数是因为局部复发。40%的病例出现了并发症。这些手术应由“专家团队”进行。术后采用同位素、激素或放射治疗对取得良好效果至关重要。

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