摘要
［目的］总结手术治疗脊柱转移癌的效果及其适应证。［方法］自1988年1月～1998年9月，共手术治疗脊柱转移癌22例，其中颈椎2例，胸椎8例，腰椎11例，骶椎1例，合并完全截瘫2例，不完全截瘫5例，有神经根刺激症状7例，无神经功能障碍8例。有5例手术前后各项检查未发现原发肿瘤。前路手术15例，后路手术7例。［结果］术后17例获随访，15例疼痛缓解。术后半年内死亡2例，6至12个月死亡2例，１至2年死亡4例，2年后死亡4例，其余5例至今存活。除2例完全截瘫病人外，其余病人的生活质量均有不同程度的提高。［结论］脊柱转移癌手术治疗能缓解疼痛、稳定脊柱、预防截瘫的发生，从而达到提高生活质量、延长生命的目的。
[Purpose] To study the value and indications of surgical treatment for spinal metastases. [Method] Twenty - two cases of spinalmetastases were treatal with surgery, including 2 cases with cervicald metastases,8 cases with thoracic metastases, 11 cases with lumber metastasesand 1 case sacrum metastasis. The primary cancers were in lung, stomach, thyroid and prostate, et al. Two cases were complicated with completeparaplegia;5 cases, incomplete paraplegia; 7 cases, impairment of nerve root; and 8 cases without neamlogital impairment. Fifteen cases were treatedwith anterior approach surgery, and 7 cases with operior approach. [Results] Seventeen cases with follow - up, 15 cases revealed markedly relief of why relief ofpain,2 cases died in half year aller surgery,2 cases died between 6 and 12 months,4 cases died between 1 and 2 years,4 cases died after 2 years,the other 5 cases are alive still. [Conclusion] Surgery of spinal metastases can relief the pain, stabilize the spine, prevent paraplegia, and improve thelife quahty and survival.
