目的:探讨腰椎恶性肿瘤的手术治疗方式。方法:对11例腰椎恶性肿瘤患者的临床表现、手术方式、治疗效果进行回顾性分析。结果:术后随访7个月～4年,10例近期疗效满意,局部疼痛和神经症状改善。1例患者术后半年局部肿瘤复发,术后7个月余死于全身衰竭。结论:选择腰椎前路瘤体切除、椎管减压及脊柱稳定性重建能减轻或消除患者的疼痛,维持或改善神经功能,从而提高患者的生活质量 Objective: To investigate the surgical treatment of lumbar malignant tumor. Methods: The clinical manifestations, surgical methods and therapeutic effects of 11 patients with lumbar malignant tumor were analyzed retrospectively. Results: All patients were followed up for 7 months to 4 years. Ten patients were satisfied with the short-term results, and local pain and neurological symptoms improved. One patient had local tumor recurrence six months after operation, and died of systemic failure seven months after operation. CONCLUSIONS: Choosing anterior lumbar tumor resection, spinal decompression, and spinal stability reconstruction can reduce or eliminate pain, maintain or improve neurological function and thus improve patient quality of life