脊柱肿瘤及肿瘤样变

Vertebral Tumors and Tumor-like Lesions

本文报告66例脊柱肿瘤及肿瘤样变,分为六大类,共累及84个脊椎骨。腰骶椎最好发病。从肿瘤种类来看,骨巨细胞瘤与血管瘤最多,各为11例。脊柱肿瘤诊断困难,必须结合临床、X线及病理综合考虑。对骶骨肿瘤,指肛检查甚为重要。脊柱肿瘤大部分需行手术切除,为此应改进入路。为减少出血,采取控制性低血压麻醉,对骶骨肿瘤暂时阻断腹主动脉有一定好处。

Sixty-six cases of vertebral tumors and tumor-like lesions are reported. They may be classified in six groups. 84 vertebrae are involved. The tumors occurred more frequently in the lumbar spine and sacrum. Among these, giant cell tumors and hemangiomas accounted for each in 11 instances. For diagnosis, clinical, radiographic appearances and pathological findings should be correlated. As for sacral tumors, rectal examination was found to be of great value. Most often the vertebral tumors should be resected surgically. The operative procedure could be facilitated by the use of controlled hypotensive anesthesia and temporary blockade of abdominal aorta.