论文部分内容阅读
转移性脊髓压迫(MSCC)的患者,接受单纯放射治疗(RT)生存质量较好。本文作者报告了连续的130例MSCC治疗的资料。 1986年10月至1989年12月间,130例MSCC患者接受了以RT为主的治疗。在肿瘤进展的病例中,不论有否MSCC神经学症状、及放射或骨扫描有阳性椎体受压者,背痛被认为作脊髓造影的主要适应症,亦可同时做或不做CT或核磁共振影像检查。一旦经临床放射学确诊为MSCC,立即经胃肠道外给予类固醇激素。下肢轻瘫或截瘫者给予高剂量(甲基强的松龙1g/d),其他的给予中等剂
Metastatic spinal cord compression (MSCC) in patients receiving simple radiotherapy (RT) better quality of life. The authors report data from a consecutive series of 130 MSCCs. Between October 1986 and December 1989, 130 MSCC patients underwent RT-based therapy. In cases of tumor progression, regardless of MSCC neurological symptoms and radiographic or bone scan positive vertebral compression, back pain is considered as a major indication for myelography and can be done with or without CT or nuclear magnetic resonance Resonance imaging. Once clinically diagnosed as MSCC by clinical radiology, steroid hormones are given parenterally. Lower extremity paresis or paraplegia were given high-dose (methylprednisolone 1g / d), the other given medium dose