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目的对原发性骶骨肿瘤的外科治疗研究进展进行综述。方法查阅国内外原发性骶骨肿瘤外科治疗的相关文献,并对其手术方式、术中止血、骨盆重建、骶神经根的保护、手术并发症及预后等多个方面进行总结、分析。结果手术治疗是原发性骶骨肿瘤的主要治疗方式,但在手术方式选择、骶神经根的保护及术中止血处理方式的选择上仍存在争议;同时,骨盆稳定性重建的复杂性、并发症的多样性及与多因素相关的预后,也给骶骨肿瘤的外科治疗带来困难和挑战。结论迫切需要形成一个行之有效的统一标准,来对原发性骶骨肿瘤进行综合性诊断和治疗。
Objective To summarize the progress of surgical treatment of primary sacral tumors. Methods The literature about the surgical treatment of primary sacral tumors at home and abroad were reviewed and analyzed. The methods of operation, intraoperative hemostasis, pelvic reconstruction, sacral nerve root protection, surgical complications and prognosis were summarized and analyzed. Results Surgical treatment was the main treatment for primary sacral tumors. However, there was still controversy over the choice of surgical methods, the protection of sacral nerve roots and the choice of intraoperative hemostasis. At the same time, the complexity and complications of pelvic stability reconstruction The diversity and prognosis associated with multiple factors also present difficulties and challenges to the surgical treatment of sacral tumors. Conclusion There is an urgent need to form a well-established and uniform standard for the comprehensive diagnosis and treatment of primary sacral tumors.