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目的 :研究颈椎骨肿瘤的手术处理方式。方法 :回顾复习 1990年以后我科治疗 42例颈椎骨肿瘤 (包括肿瘤样变 )的临床肿瘤 ,共归纳为 7种外科处理方式。结果 :平均 2 5个月随访结果显示 ,在 2 9例原发骨肿瘤患者中 ,1例C2 巨细胞瘤复发导致病人死亡 ,2例恶性肿瘤死于全身转移 ,1例巨细胞瘤及 1例血管瘤复发再手术成功 ,其余 2 4例手术均达到预期结果。在 13例转移癌患者中手术起到了缓解脊髓、神经根压迫及颈部疼痛症状。结论 :根据不同的肿瘤性质和实际侵犯脊椎的程度应计划不同的手术方式。对原发肿瘤 ,应根据Weistein的分期理论采取较为彻底地切除方式 ,对 3期 ,Ⅰ、Ⅱ期病例术后辅以放疗。对转移癌病例的手术治疗旨在缓解脊髓和神经根受压 ,重建脊柱的稳定性。
Objective: To study the surgical treatment of cervical vertebrae. Methods : Review and review After 1990, our department treated 42 cases of cervical tumors (including tumorous lesions) of clinical tumors, were summarized into 7 kinds of surgical treatment. RESULTS: An average of 25 months of follow-up showed that in 29 patients with primary bone tumors, 1 patient died of C2 giant cell tumor recurrence, 2 malignant tumors died of systemic metastasis, 1 case of giant cell tumor, and 1 case. The recurrence of hemangiomas was successful and the remaining 24 cases achieved the expected results. In 13 patients with metastatic cancer, surgery relieved symptoms of spinal cord, nerve root compression and neck pain. Conclusion : Different surgical procedures should be planned according to the nature of the different tumors and the degree of actual invasion of the spine. For the primary tumor, a more thorough resection method should be adopted according to Weistein’s staging theory. Postoperative radiotherapy is supplemented for stage 3, I and II cases. Surgical treatment of metastatic cancer is aimed at relieving spinal cord and nerve root compression and restoring the stability of the spine.