脊柱转移瘤并脊髓压迫症的急诊外科治疗

【目的】探讨脊柱．转移瘤所致脊髓压迫症的急诊外科治疗方法及疗效。【方法】对43例脊柱转移瘤所致脊髓压迫症患者行急诊手术治疗，观察神经功能恢复情况。【结果】平均随访13（6～24）个月，34例患者神经功能恢复按Frankel分级提高1～3级；3例术前没有神经功能损害的患者术后亦无神经功能损害出现；6例患者神经功能没有恢复。【结论】对脊柱转移瘤所致脊髓压迫症，急诊外科手术治疗能缓减疼痛，促进神经功能恢复，防治截瘫，提高生活质量。

Emergency Surgical Management on Spinal Cord Compression Syndrome Due to Malignant Tumors

Objective] To explore the effective and emergency surgical management on spinal cord compression syndrome（SCCS） due to malignant tumors. Methods] Forty three cases with SCCS due to malignant tumors were analyzed retrospectively. All patients were treated by emergency surgical treatment. Results] The mean follow up was 13 iaaonths（ranged 6-24 months）. Thirty four patients gained one to three Frankel grade of neurological recovery. After operation, there was no neurological symptom in 3 patients without preoperative neurological function impairment. Six patients did not gain neurological function improvement. Conclusion] Emergency surgical, management can improve the neurological function of patients with SCCS due to malignant tumors.