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目的探讨胸腰椎转移性肿瘤外科治疗方法。方法回顾性分析38例胸、腰椎转移性肿瘤患者的临床资料。结果按Frankel分级评分:3例A级患者恢复到C级,1例A级患者恢复到D级,1例A级患者恢复到B级,2例B级患者恢复到D级,其余患者恢复到E级。手术后所有患者手术后疼痛得到缓解甚至消失,脊髓压迫症状改善或缓解。结论胸、腰椎转移性肿瘤的手术治疗能够稳定和重建脊柱,改善或缓解脊髓压迫症状,从而改善患者的生活质量。术中彻底切除肿瘤、减压及坚固内固定是保证治疗效果的关键。
Objective To investigate the surgical treatment of thoracolumbar metastatic tumors. Methods The clinical data of 38 patients with thoracic and lumbar metastatic tumors were retrospectively analyzed. The results were graded according to the Frankel score: three patients with grade A recovered to grade C, one patient with grade A recovered to grade D, one patient with grade A returned to patient B, two patients with grade B returned to patient D, and the rest to E grade. All patients after surgery, pain relief or even disappear after surgery, spinal cord compression symptoms to improve or alleviate. Conclusion Surgical treatment of thoracic and lumbar metastatic tumors can stabilize and reconstruct the spine and improve or relieve the symptoms of spinal cord compression, thus improving the quality of life of patients. Intraoperative radical resection of the tumor, decompression and solid internal fixation is the key to ensuring the therapeutic effect.