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目的探讨脊柱转移瘤的外科治疗价值。方法21例脊柱转移瘤患者进行手术治疗,分析其临床治疗效果,其中颈椎转移4例、胸椎转移11例、腰椎转移6例;单椎体18例,2个以上椎体3例。结果17例(81.0%)术后疼痛缓解。16例神经功能受损的患者中,10例(62.5%)术后神经受损改善。随访9~38个月,术后1年存活率为66.7%。结论脊柱转移瘤手术治疗可增加脊柱稳定性、改善神经功能症状,提高患者的生存质量。
Objective To investigate the surgical treatment of spinal metastases. Methods Twenty - one patients with spinal metastases underwent surgical treatment. The clinical effects were analyzed. Among them, 4 cases were cervical spine metastasis, 11 cases were thoracic spine and 6 cases lumbar spine were metastatic. Among them, 18 cases were single vertebrae and 3 cases were more than 2 vertebrae. Results Postoperative pain was relieved in 17 cases (81.0%). Of the 16 patients with impaired neurological function, 10 (62.5%) had improved neurological compromise. The follow-up period was 9 to 38 months, and the one-year survival rate was 66.7%. Conclusion Surgical treatment of spinal metastases can increase spinal stability, improve neurological symptoms and improve the quality of life of patients.