肺癌脊椎转移的外科治疗探讨

Surgical Treatment of Spinal Metastasis from Lung Cancer

20例肺癌脊椎转移患者,经前方椎体切除或/和减压及骨水泥填充固定共18例.3例同期行椎体转移癌和肺部病变切除;化疗和放疗作为辅助手段.结果:12例疼痛得到缓解,截瘫或轻瘫除1例外获完全或部分恢复,平均存活8个月.基于临床资料,认为外科手术可改善生存质量.

Among 20 cases of spinal metastatis from lung cancer, 18 cases underwent the decompressive corporactomy and stabilization by methylmethyacrylate via anterior approach. Three cases received operation on both primary lesionsin lung andspinal metastasis cancer simultaneously. Chemotherapy and radiotherapy were used as a supplementary treatment. The results showed that the pain of all patients was relieved. Except one case,all patients with paraplegia and paraparesis obtained partial or complete recovery after operation. The survival time averaged 8 months. It was concluded that surgical operation could improve the life quality of the patients on the basis of clinical materials.