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脊椎骨转移瘤合并压缩性骨折的综合治疗
引用本文:朱艳云,白莉. 脊椎骨转移瘤合并压缩性骨折的综合治疗[J]. 军医进修学院学报, 2011, 32(6): 574-575
作者姓名:朱艳云  白莉
作者单位:解放军总医院肿瘤内科,北京,100853
摘    要:
目的探讨脊椎骨转移瘤合并压缩性骨折的综合治疗方法。方法分析我院脊椎骨转移瘤合并压缩性骨折的癌症患者73例,A组40例行含手术的综合治疗,B组33例行不含手术的综合治疗。结果随诊6个月,A组40例中35例生活基本自理,生活质量状况评定标准(KPS评分)在70分以上,4例因肿瘤转移和播散死亡。B组33例中20例有效,KPS评分在70分以上;11例KPS评分≤60分;2例死亡,死亡前均出现截瘫。结论脊椎骨转移瘤合并压缩性骨折患者在综合治疗基础上,适时选择外科手术治疗可提高生活质量。

关 键 词:脊柱  肿瘤转移  外科手术  截瘫

Comprehensive treatment of metastatic spinal cancer accompanying compression fracture
ZHU Yan-yun,BAI Li. Comprehensive treatment of metastatic spinal cancer accompanying compression fracture[J]. Academic Journal of Pla Postgraduate Medical School, 2011, 32(6): 574-575
Authors:ZHU Yan-yun  BAI Li
Affiliation:ZHU Yan-yun,BAI Li Department of Oncology,Chinese PLA General Hospital,Beijing 100853,China
Abstract:
Objective To study the comprehensive treatment of metastatic spinal cancer accompanying compression fracture.Methods Seventy-three patients with metastatic spinal cancer accompanying compression fracture admitted to our hospital were divided into group A(n=40) and group B(n=33).Patients in group A received comprehensive therapy plus operation,and those in group B underwent comprehensive therapy without operation.Results The patients were followed up for 6 months.Of the 40 patients in group A,35 could take c...
Keywords:Spine  Neoplasm Metastasis  Surgical Procedures  Operative  Paraplegia  
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