[高龄患者的骨转移瘤手术？]
[Surgery of bone metastases in advanced age?].
作者信息
Grabbe F, Fröschle G, Waldenhoff M, Jungbluth K H
机构信息
Abteilung für Unfall- und Wiederherstellungschirurgie, Universitätskrankenhaus Hamburg-Eppendorf.
出版信息
Langenbecks Arch Chir Suppl Kongressbd. 1996;113:925-7.
Twenty-seven patients over 70 years of age (1990-1995, n = 100) achieved a stabilisation of skeletal metastasis; preventive (10), or after pathological fracture (17). Medullary pins were preferred to compound osteosynthesis. In all cases the operation was of a palliative nature, but resulted in considerable relief from pain, facilitated nursing or even improved ability to walk. Thus old age is not an indication against palliative stabilisation of skeletal metastasis.
27名70岁以上的患者（1990年至1995年，共100例）实现了骨转移的稳定；其中预防性治疗的有10例，病理性骨折后治疗的有17例。与复合骨固定术相比，髓内针更受青睐。在所有病例中，手术均为姑息性手术，但能显著缓解疼痛，便于护理，甚至能提高行走能力。因此，高龄并非反对对骨转移进行姑息性稳定治疗的指征。
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