单纯后路手术治疗胸腰椎肿瘤的临床治疗效果

Clinical Study of Simple Posterior Approach for Thoracic and Lumbar Tumor Patients

目的探究单纯后路手术对胸腰椎肿瘤患者临床治疗的优越性。方法随机选取接受单纯后路肿瘤切除术治疗的胸腰椎肿瘤患者100例。对患者的临床资料进行统计,并对患者手术前、手术后2周及1个月的疼痛感,手术前、手术1个月及6个月后的功能状态和手术前及手术后1个月的神经功能状态等进行评估。结果 100例患者均顺利完成手术,所有患者在术后2周及1个月的疼痛较术前均有所缓解,术后1个月及6个月的生活质量较术前均有所改善,术后1个月的神经功能状态较术前均有不同程度的恢复,差异均具有统计学意义(P<0.05)。结论单纯后路手术可明显缓解疼痛,改善患者生活质量,解除肿瘤对脊髓的压迫,使患者神经功能得到不同程度的恢复。

Objective To explore the clinical treatment of patients with thoracic and lumbar spine surgery by simple posterior approach,and to provide the basis for clinical treatment. Methods Randomly selected 100 cases of patients with thoracolumbar tumors treated with posterior tumor resection. The statistics of the clinical data of patients, and for 2 weeks before surger- y, after surgery and pain before surgery, 1 month, 1 month and 6 months after the operation and functional status before surgery and after surgery a month of neurological status was evaluated. Results 100 patients were successfully completed surgery, 2 weeks after surgery in all patients and in 1 month were compared with the preoperative pain eased after 1 month and 6 months, the quality of life were improved compared with preoperative, postoperative neurological status a month compared with preoperative had different degrees of recovery, the difference was statistical significant （ P 〈 0. 05 ）. Conclusion The curative effect is better, it can relieve pain, improve the quality of life of patients, relieve the compression of spinal cord, and make the patients with different degree of neurological function recovery.