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椎管减压术对多发性骨髓瘤合并脊髓压迫症患者生活质量的影响 被引量:4

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摘要 目的探讨椎管减压术对多发性骨髓瘤(MM)合并脊髓压迫症(SCC)患者生活质量的影响。方法选择28例MM合并SCC患者,根据是否进行椎管减压术分为椎管减压术组13例、非手术组15例;患者均行化疗,7例行脊髓压迫部位局部放疗。SCC诊断时及诊断12个月后,采用Frankel分级和美国东部肿瘤协作组体能状态评分标准(ECOG-PS)评价生活质量改善情况。结果椎管减压术组Frankel分级、ECOG-PS生活质量明显改善率分别为92.31%、84.62%,非手术组分别为80.00%、80.00%,P均>0.05。结论椎管减压术并不能使MM合并SCC患者的生活质量得到进一步改善。
机构地区 北京积水潭医院
出处 《山东医药》 CAS 2013年第48期43-44,共2页 Shandong Medical Journal
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参考文献11

  • 1Snyder LJ, Wilhelm SK. Multiple myeloma with spinal cord com- pression as the initial findings[J]. Ann Intern Med, 1948,28 (6) :1169-1177.
  • 2Sun H, Nemecek AN. Optimal management of malignant extradural spinal cord compression [ J ]. Hematol Oncol Clin North Am, 2010,24(3) :537-551.
  • 3Greenberg HS, Kim JH, Posner JB. Epidural spinal cord compres- sion from metastatic tumor: results with a new treatment protocol [J]. Ann Neurol, 1980,8(4) :361-366.
  • 4Findlay GF. Adverse effects of the management of malignant spinal cord compression [ J ]. J Neurol Neurosurg Psychiatry, 1984,47 (8) :761-768.
  • 5Young RF, Post EM, King GA. Treatment of spinal epidural me- tastases. Randomized prospective comparison of laminectomy and radiotherapy[J]. J Neurosurg, 1980,53(6) :741-748.
  • 6王继营,高珊,王玲,宋立友.恶性肿瘤并发脊髓压迫症的急诊处理[J].中国肿瘤临床与康复,2001,8(2):83-84. 被引量:1
  • 7North RB, LaRocca VR, Schwartz J, et al. Surgical management of spinal metastases:analysis of prognostic factors during a lO-year experience[J]. J Neurosurg Spine, 2005,2 (5) :564-573.
  • 8Wang JC, Boland P, Mitra N, et al. Single-stage posterolateral transpedicular approach for resection of epidural metastatic spine tumors involving the vertebral body with circumferential reconstruc- tion : results in 140 patients. Invited submission from the Joint Sec- tion Meeting on Disorders of the Spine and Peripheral Nerves, March 2004 [ J ]. J Neurosurg Spine, 2004,1 ( 3 ) :287-298.
  • 9Klimo P Jr, Thompson C J, Kestle JR, et al. A meta-analysis of surgery versus conventional radiotherapy for the treatment of meta- static spinal epidural disease [ J ]. Neuro Oncol, 2005,7 ( 1 ) : 64-76.
  • 10Hussein MA, Vrionis FD, Allison R, et al. International Myeloma Working Group. The role of vertebral augmentation in multiple mye- loma: International Myeloma Working Group Consensus Statement [J]. Leukemia, 2008,22(8) :1479-1484.

二级参考文献1

  • 1李同度译.临床肿瘤学[M].合肥:安徽科学技术出版社,1995.115.

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同被引文献51

  • 1第二届颈椎病专题座谈会纪要[J].中华外科杂志,1993,31(8):472-476. 被引量:2441
  • 2吴德升,芮永,林研,赵卫东,祝建光,刘凡,于彬.陆家嘴地区金融从业人员颈椎病现状的流行病学调查和预防对策的研究[J].脊柱外科杂志,2006,4(3):150-154. 被引量:41
  • 3施杞,王和鸣.骨伤科学[M].北京:人民卫生出版社,2003:682-692.
  • 4胥少汀,葛宝丰,徐印坎.实用骨科学[M].4版.北京:人民军医出版社,2012:608.
  • 5Varettoni M,Corso A,Pica G,et al. Incidence,presentingfeatures and outcome of extramedullary disease in multi-ple myeloma : a longitudinal study on 1003 consecutive pa-tients [J]. Ann Oncol, 2010,21(2): 325-330.
  • 6Katodritou E,Terpos E,Symeonidis AS,et al. Clinical fea-tures ,outcome, and prognostic factors for survival and evolu-tion to multiple myeloma of solitary plasmacytomas : a re-port of the Greek myeloma study group in 97 patients [J].Am J Hematol,2014,89(8) : 803-808.
  • 7Blad6 J,de Larrea CF,Rosinol L Extramedullary involvementin multiple myeloma [J]. Haematologica, 2012,97 (11):1618-1619.
  • 8Repko M,Chaloupka R,Grosman R,et al. Surgical optionsin the treatment of myeloma of the spine [J]. Vnitr Lek,2006,52(12):32-40.
  • 9Katodritou E,Gastari V,Verrou E,et al. Extramedullary(EMP)relapse in unusual locations in multiple myeloma:is there an association with precedent thalidomide admin-istration and a correlation of special biological featureswith treatment and outcome. [J]. Leuk Res, 2009,33(8):1137-1140.
  • 10Lee SE,Kim JH,Jeon YW,et al. Impact of extramedullaryplasmacytomas on outcomes according to treatment approachin newly diagnosed symptomatic multiple myeloma [J].Ann Hematol,2015,94(3) :445-452.

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