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目的:探讨Tomita预后评分法对脊柱转移瘤的临床应用价值。方法:对49例脊柱转移瘤应用Tomita预后评分法进行评估,根据评分结果选择治疗方法。结果:有43例获得随访,随访4～27个月,1例4个月后发现内固定物松动,1例术后10d死亡。手术组疼痛缓解平均2.6分。脊髓及神经根损害术后均改善。结论:原发肿瘤性质及重要脏器转移情况影响患者预后。Tomita预后评分法可有效判断预后,指导制定治疗方案。对于单发、生存期较长的脊柱转移瘤采取积极手术治疗,可取得较满意的疗效。
Objective: To investigate the clinical value of Tomita prognostic score in the diagnosis of spinal metastases. Methods: 49 cases of spinal metastases were evaluated by Tomita prognostic score method, and the treatment method was selected according to the score results. Results: 43 cases were followed up for 4 to 27 months. After 1 month and 4 months, the internal fixators were loosened and 1 case died after 10 days. The pain relief in the operation group average 2.6 points. Spinal cord and nerve root damage after surgery were improved. Conclusion: The nature of primary tumor and the metastasis of important organs affect the prognosis of patients. Tomita prognostic score method can effectively determine the prognosis, guide the development of treatment options. For single, long survival spine metastases to take active surgical treatment, can be more satisfactory results.