手术切除治疗脊柱原发性肿瘤的疗效分析

Efficacy of Surgical Resection of the Primary Tumor of the Spine

目的分析手术切除治疗脊柱原发性肿瘤的疗效。方法回顾性分析2009～2010年进行手术治疗的原发性肿瘤30例患者的临床资料。结果随访半年至6年,平均30个月。手术后患者疼痛优12例,良16例,中1例,差1例,疼痛总改善率为93.3%。术后神经功能A级、B级、C级例数明显减少,D级、E级例数增多,E级比率明显高于术前,差异具有显著性(P<0.05)。结论采用分期分块手术法切除原发性肿瘤较彻底,具有良好的近中期疗效,但存有一定缺陷,需要更进一步的完善。

Objective To analyze the surgical resection of the primary tumor efficacy of treatment of spinal.Methods A retrospective analysis of the clinical data of 30 patients with primary tumor surgery in 2009-2010.Results The follow-up six months to six years,an average of 30 months.Post-operative pain in patients with excellent in 12 cases,good in 16 cases,in one cases,poor in 1 case,the the pain total improvement rate was 93.3%.The postoperative neurologic Class A,B class,C-class,the number of cases decreased significantly,an increase in the number of cases of D-class and E-class and E-class ratio is significantly higher than the preoperative difference was significant（P0.05）.Conclusion staging block surgery more thorough removal of the primary tumor,the recent mid-term efficacy,but there are some flaws,needs further improvement.