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26例骨转移瘤的手术治疗
Surgical treatment for 26 cases of skeletal metastases
【摘要】 报告18例脊柱转移瘤和8例长骨转移瘤的手术治疗结果状况。Karnofsky肿瘤患者状况评分为40~70分。脊柱转移瘤主要选用后路减压和内固定术,长骨转移瘤则采用钢板或髓内外与骨水泥并用治疗。术后疼痛均显著缓解,活动能力改善。存活期均大于3个月,最长已存活28个月。作者认为手术是治疗骨转移瘤的重要方法,Karnofsky评分有助于选择手术病人。
【Abstract】 The results of surgical treatment for 18 patients with spinal metastases and eight patients with the metastases of the long bones were reported. Karnofsky performance index was between 40 and 70 in this series. The posterior decompression and internal fixation was performed for the patients with spinal metastases. The internal fixation using plates or intramedulla rod and methylmethacrylate was performed for patients with the metastases of the long bone. Pain was significantly relieved and function of the activity was improved after the operation. Postoperatively all patients survived for more than 3 months and the longest survival was more than 28 months. Authors suggest that surgery be an important treatment for bone metastases and Karnofsky performance index was helpful in selecting patients for the operation.
- 【文献出处】 实用肿瘤杂志 ,Journal of Practical Oncology , 编辑部邮箱 ,1997年02期
- 【分类号】R738.1
- 【被引频次】5
- 【下载频次】38