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1975~1994年我院收治脊柱肿瘤44例。发病年龄最小为2岁,最大为71岁。发病部位以腰椎,胸椎,颈椎及骶椎依次递减,2个椎体以上受侵犯者皆为恶性肿瘤,其中仅1例为原发性恶性肿瘤。转移性恶性肿瘤的组织来源以消化系统、呼吸系统为多,本组病例首发症状大多数为腰背痛或腰腿痛,故对这类病人若有持续性疼痛,夜间加重,保守治疗无效者应予重视,以免误诊或延误诊断。椎体针吸活检对明确诊断及决定治疗方案帮助很大。提出介入疗法适合于T3以下的各椎体肿瘤,且术前、术后皆可进行。
From 1975 to 1994, 44 cases of spinal tumors were treated in our hospital. The age of onset is a minimum of 2 years and a maximum of 71 years. The incidence of lumbar vertebrae, thoracic spine, cervical spine and sacral spine decreased in turn, and 2 vertebrae and above were all malignant tumors, and only 1 of them were primary malignant tumors. The main sources of metastatic malignancy are digestive system and respiratory system. Most cases of this group of cases have low back pain or low back pain, so if these patients have persistent pain, they will worsen at night and the conservative treatment will fail. Should pay attention to avoid misdiagnosis or delay in diagnosis. Vertebral needle aspiration biopsy is of great help in confirming the diagnosis and determining the treatment plan. It is proposed that interventional therapy is suitable for all vertebral tumors below T3 and can be performed before and after surgery.