Takaishi H, Yabe H, Fujimura Y, Suzuki N, Toyama Y
Department of Orthopaedic Surgery, Keio University, Tokyo, Japan.
Arch Orthop Trauma Surg. 1996;115(1):49-52. doi: 10.1007/BF00453218.
The results of surgery on primary malignant tumors of the spine in 18 patients treated in our hospital between 1976 and 1993 were reviewed. Curettage was less effective in controlling primary malignant lesions than wide excision, and the condition of the resected margin was closely related to the prognosis of the disease. Some patients in the hematopoietic tumor group receiving combined adjuvant therapy survived for a long time. The role of surgery is important in tumors such as chordoma and chondrosarcoma that have low sensitivity to adjuvant therapy, and it is essential to secure tumor-free resected margins.
回顾了我院1976年至1993年间治疗的18例脊柱原发性恶性肿瘤患者的手术结果。刮除术在控制原发性恶性病变方面不如广泛切除术有效，切除边缘的情况与疾病预后密切相关。造血肿瘤组中一些接受联合辅助治疗的患者存活时间较长。手术在对辅助治疗敏感性较低的肿瘤（如脊索瘤和软骨肉瘤）中作用重要，确保切缘无肿瘤至关重要。
