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脊柱转移瘤的外科治疗
引用本文:高国勇,镇万新,王多,刘洪涛,徐亮. 脊柱转移瘤的外科治疗[J]. 中国骨肿瘤骨病, 2007, 6(3): 144-147
作者姓名:高国勇  镇万新  王多  刘洪涛  徐亮
作者单位:暨南大学医学院第二临床医学院深圳市人民医院脊柱外科,深圳,518020
摘    要:目的探讨脊柱转移瘤的手术目的、适应证、术式选择及疗效。方法2003年6月~2006年6月,对37例脊柱转移瘤患者行手术治疗,包括颈椎转移8例,胸椎转移18例,腰椎转移11例。观察术后生存质量的改善情况。结果平均随访18个月。疼痛缓解率87%,27例神经功能恢复按Frankel分级提高1~3级。6例术前没有神经症状,术后一直未出现神经症状。4例神经功能无恢复。结论手术治疗脊柱转移瘤,可以明显缓解患者疼痛,改善神经症状,预防继发神经功能障碍,提高脊柱转移瘤患者的生存质量。

关 键 词:脊柱  肿瘤转移  外科手术
修稿时间:2007-01-29

Surgical treatment of spinal metastatic tumors
GAO Guoyong, ZHEN Wanxin, WANG Duo, et al. Surgical treatment of spinal metastatic tumors[J]. Chinse Journal Of Bone Tumor And Bone Disease, 2007, 6(3): 144-147
Authors:GAO Guoyong   ZHEN Wanxin   WANG Duo   et al
Affiliation:Department of Spine Surgery, The second-affiliated Hospital of Medical College of Jinan University. Shenzhen 518020, China
Abstract:Objective To discuss the surgical approach and the clinical effect of surgical treatment of primary and metastatic tumor of the spine. Methods T 37 cases of spinal tumor were analysed retrospectively. All the patients were treated by surgical operation treatment. Results The follow-up averaged 18 months (range 3-36 months). Pain was relieved in 27 of 31 patients(87%). 27 patients gained one to three Frankel grade of neurological recovery as a consequence of decompression. There is no neurological symptoms appearance after operation on 6 patients of metastatic tumor that has no neurological symptoms before operation. 4 patients did not gain neurological function improvement. Conclusions Surgical treatment can relieve the symptoms and improve the survival for metastatic patients.
Keywords:Spine   Metastatic tumor   Surgery
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