11例原发骶骨肿瘤的手术治疗

Surgical treatment of 11 cases of primary sacral tumor

目的 探讨原发性骶骨肿瘤的手术治疗方法，提高骶骨肿瘤的生存率。方法 手术治疗原发性骶骨肿瘤11例，分析手术步骤。结果11例患者无术中死亡，2例切口皮缘坏死，1例术后早期脑脊液漏。随访10例，时间4个月～5年。1例脊索瘤患者术后1年复发伴转移死亡。结论 骶尾部肿瘤应广泛的手术切除，术中需控制出血量，尽可能保护骶神经根，妥善的骶腰椎重建、化疗和放疗，对不同的骶骨肿瘤有一定的疗效。

11 cases with primary sacral tumors were undergone surgical treatment, and the surgical approaches were analyzed. Results No intraoperative death was found. 2 were complicated with wound rim necrosis, 1 with early cerebrospinal fluid leaking. 10 cases were followed for 4 - 60 months. 1 case of chordoma got recurrence and died in 1 year postoperatively. Conclusions Sacrococcygeal tumor should be widely resected. Bleeding should be controlled and sacral nerve root should be protected. Proper lumbosacral reconstruction, chemotherapy and radiotherapy are effective in certain degree.