颈椎恶性肿瘤的手术治疗分析.pdfVIP

现代肿瘤医学 2010年 l2月 第 18卷第 12 · 2459 · 颈椎恶性肿瘤的手术治疗分析 张小卫，尹战海，李 萌，王金堂 SurgicalTreatmentofMalignantCervicalVertebraTumors ZHANG Xiao—wei，YINZhan—hai，LiMeng，WANGJin—tang DepartmentofOrthopedics，FirstAffiliatedHospital，CollegeofMedicine，XianJiaotongUniversity，Xihn710061，China． 【Abstract】 Objective：Toanalyzetheclinicalresultsofthesurgicaltreatmentofmalignantcervicalvertebratumors retrospectively．Methods：23patientswithcervicalvertebratumorswerereported．Therewere18casesofmetastatic tumorand5casesofprimarytumor．Accordingtothedestructioncharacteristicofcervicalvertebraandcompression statusofspinalcordin imagingexamination，threekindsofsurgicaltreatmentsthroughanterior，posteriororcom— binedanterior—posteriorapproach，wereemployedtoresecttumor，decompressspinalcordandre—stabilizecervical vertebra．Therewere13 casesthroughanteriorapproach，8casesthroughposteriorapproach，and2casesthrough combinedanterior— posteriorapproach． Results：18 caseswerefollowed successfully for4 monthsto4 yeras 6months．Thepainrelieveratewas89％ ．Thenervefunctioninthefollow—upwascategorizedbyJOA criteriainto threegradesasexcellent．goodandbad．Thetotal excellent／goodratewas46．5％ ．Theminimal survivalperiodwas 5months，themaximalsurvivalperiodwas4years6months，andsurvivalperiodsof23．5％ ofcaseswereabove2 years．Conclusion：Basedonthedestructioncharacteristicofcervicalvertebraandcompressionstatusofspinal cord inimagingexamination，andaccordingtoMomitasurgicalstagingofspinaltumor，differentsurgicaltreatmentscould beselectedtoresecttumor，decompressspinalcord，re—stabilizecervicalvertebrasuccessfully． K【eywords】malignanttumor；cervicalvertebra；surgicaltreatment ModernOncology2010，18(12)：2459—2460 摘【要】 目的：回顾分析颈椎恶性肿瘤的手术治疗方法及临床效果。方法：本组23例患者，转移性肿瘤 l8 例，原发性肿瘤5例。依据影像学检查颈椎破坏及脊髓受压的特点，采