摘要
目的 :探讨脊柱肿瘤的诊断、治疗方法。方法 :回顾性分析 1993年 1月至 2 0 0 3年 1月收治的脊柱肿瘤90例 ,其中男 5 1例 ,女 39例 ,平均年龄 4 9.3岁。颈段 12例 ,胸段 35例 ,腰段 2 9例 ,骶段 14例。原发性肿瘤 5 4例 ,其中良性肿瘤 2 5例 ,恶性肿瘤 2 9例。脊柱转移瘤 36例。术前依据影像学确诊。采用前、后路手术切除肿瘤并重建脊柱的稳定性。结果 :优 4 1例 ,良 2 0例 ,一般 17例 ,差 12例。结论 :早期诊断、恰当的入路、稳定性的重建和术后综合治疗是良好效果的保证。
Objective To investigate the means of diagnosis and surgical treatment of the spinal tumors.Methods 90 cases of the spinal tumors were retrospectively analyzed,including 51 males and 39 females,with mean age of 49.3 years old.12 cases tumors located at cervical region,35 cases at thoracic region,29 cases at lumbar region and 14 cases at sacral segments.54 patients with Primary spinal tumors (include 25 cases carcinoid,29 cases malignancy )and 36 cases with spinal metastases. Anterior approach for the anterior lesion and posterior approach for the posterior lesion, combined anterior and posterior approach for extensive lesions,internal fixation for spinal stability at one time, according as the signs of X-rays,CT and MRI.Results 41 cases were excellent ,in which 20 cases were good,17 cases were fair and 11 cases were poor.Conclusion Good effects depend on early diagnosis, felicitous approach, stabile reconstruction and comprehensive post-operative treatments.
出处
《实用医技杂志》
2004年第10A期1987-1988,共2页
Journal of Practical Medical Techniques
