脊柱转移瘤50例临床分析

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

中文关键词:  脊椎 肿瘤转移 临床

英文关键词:Spine,Metastatic tumor,Surgical treatment

中文摘要:

  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。

英文摘要:

  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 %).