脊柱转移瘤的外科治疗
【摘要】 目的 探讨脊柱转移瘤的外科治疗价值。方法 21例脊柱转移瘤患者进行手术治疗，分析其临床治疗效果，其中颈椎转移4例、胸椎转移11例、腰椎转移6例；单椎体18例，2个以上椎体3例。结果 17例(81.0%)术后疼痛缓解。16例神经功能受损的患者中，10例(62.5%)术后神经受损改善。随访9~38个月，术后1年存活率为66.7%。结论 脊柱转移瘤手术治疗可增加脊柱稳定性、改善神经功能症状，提高患者的生存质量。【关键词】脊柱；转移瘤；外科治疗
Surgical treatment of metastatic spinal tumors
LIU Qing-fu.The People’s Hospital of LiCheng District,Jinan 250115,China
【Abstract】 Objective To investigate the value on surgical treatment of metastatic spinal tumors.Methods Surgical treatment had been performed on 21 patients with metastatic spinal tumors,and therapeutic efficacy were analyzed.Of 21 patients,the cervical vertebrae were involved in 4 cases,thoracic vertebrae in 11 and lumbar vertebrae in 6.The single vertebrae were involved in 18 cases and more than 2 vertebrae in 3.Results Pain relief were obtained in 17 cases(81.0%)and neurological improvement were obtained in 10 of 16 patients(62.5%).All the patients were followed up for 9 to 48 months,the one-year survival rate was 66.7%.Conclusion Surgical treatment of metastatic spinal tumors may increase the spinal stability,improve neurological symptom and raise living quality of patients. ......
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