脊柱转移瘤50例临床分析

收治 ５０例脊柱转移瘤，年龄３１～８２岁，平均 ５０．５岁。肿瘤在胸椎者居多，次为腰椎、颈椎和骶椎。原发癌主要在肺、甲状腺和肾脏等。作者分析了误诊的原因，并认为化疗、放疗和外科手术治疗脊椎转移瘤是有效可取的。８例合并完全截瘫患者预后均极差，因此指出早期诊断与治疗的重要性。肺癌转移者与甲状腺癌转移者术后存活时间有明显差别，说明经治疗后患者的估计寿命主要取决于原发肿瘤的生物行为，似与外科治疗等措施关系不大。

Metastatic tumors of the spine: A clinical analysis of 50 cases

50 patients with spinal metastatic tumor were treated, age ranging from 31- 82, the average is 50. 5 years. The lesions were mainly in the thoracic, then in the lumbar, cervical and sacrum. Neurologic disorder complications were found in 20 cases (40 %). The primary tumor were mainly from the lung, thyroid and kidney etc. The authors analysed the causes of misdiagnosis and considered that the major three options available for mangement are: chemotherapy, radiation therapy and surgery. 8 cases with complete paraplegia carried a bad functional prognosis regardless of the mode of therapy employed. The results of treatment emphasize the value of early diagnosis and treatment. Life expectancy depends more on the nature of the primary tumor than on the surgical technique.