目的:探讨脊柱转移癌的术前评估与治疗方式的选择。方法:对54例该病患者进行了术前评估及不同方式的治疗,对比分析各种治法的疗效。结果:手术组在症状改善方面的总有效率较放、化治疗组高,生存率比较无明显差异。结论:加强该病的术前评估与治疗方式的选择研究,可更好地指导临床治疗。 Objective: To explore the choice of preoperative evaluation and treatment of spinal metastases. METHODS: Fifty-four patients with this disease were evaluated preoperatively and treated in different ways. The efficacy of various treatments was compared. RESULTS: The total effective rate of symptom improvement in the surgical group was higher than that in the release and chemotherapy group. There was no significant difference in the survival rate. Conclusion: To strengthen the preoperative evaluation of the disease and the choice of treatment methods can better guide clinical treatment.