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[脊髓肿瘤转移灶手术治疗的有效性:基于作者自身资料]

[Effectiveness of surgical treatment in metastases of spinal cord neoplasms: on the basis of the authors' own material].

作者信息

Jastalski G, Kowalina I, Kopczyński S

机构信息

Oddziału Neurochirurgii Wojewódzkiego Szpitala Zespolonego, Elblagu.

出版信息

Neurol Neurochir Pol. 1993 Mar-Apr;27(2):221-9.

PMID:8327042
Abstract

The authors present 11 patients operated on for metastatic tumours of the vertebral canal. The main symptom was pain lasting for from 3 weeks to 8 months prior to the development of spinal cord compression. The primary focus was diagnosed and treated primarily surgically in only 2 patients. In all cases laminectomy was done for removal of the epidural or intravertebral body part of the tumour and in 3 patients posterior spondylodesis was done additionally. The fate of 3 patients is unknown. Three patients died. The results of the treatment of 5 patients were assessed from 3 to 40 months after operation. The authors review in the light of the pertinent literature the modern methods of management which depend mainly on the location of the tumour.

摘要

作者报告了11例因椎管转移性肿瘤接受手术的患者。主要症状是在脊髓受压出现之前,疼痛持续3周至8个月。仅2例患者的原发灶首先通过手术诊断和治疗。所有病例均行椎板切除术以切除肿瘤的硬膜外或椎体部分,3例患者还额外进行了后路脊柱融合术。3例患者的情况不明。3例患者死亡。对5例患者的治疗结果在术后3至40个月进行了评估。作者根据相关文献回顾了主要取决于肿瘤位置的现代治疗方法。

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