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在所有脊柱恶性肿瘤中,通常考虑肉眼全切肿瘤和脊柱稳定性重建。作者报道在1989年1月至1993年12月间110例脊柱肿瘤因脊髓压迫接受手术治疗,其中女53例,男57例,平均年龄58岁(28～85岁)。28例(25％)在65岁以上。102例(93％)临床表现背部局限痛或伴根痛48例(44％)肢体活动障碍。其中20例(19％)全瘫。本组病人均由MRI或CT确诊,术后,CT和X片定期复查,以确定肿瘤全切和局部复发情况。
In all spinal malignancies, it is generally considered to have a naked eye to fully resect the tumor and to rebuild the stability of the spine. The authors reported that between January 1989 and December 1993, 110 cases of spinal tumors underwent surgical treatment for spinal cord compression, including 53 females and 57 males with an average age of 58 years (28 to 85 years). 28 cases (25%) were over the age of 65. Twenty-two patients (93%) had clinical manifestations of localized back pain or associated pain in roots (48%). Of these, 20 patients (19%) were completely deaf. All patients in this group were diagnosed by MRI or CT. Postoperatively, CT and X-slices were regularly reviewed to determine the total tumor resection and local recurrence.