摘要
目的探讨全脊椎整块切除术治疗原发性胸腰椎肿瘤患者的应用效果。方法选取原发性胸腰椎肿瘤患者74例,采用全脊椎整块切除术治疗。统计围术期情况、视觉模拟评分法(VAS)评分、Frankel分级、并发症发生率。结果术中出血量897~4512 ml,平均出血量为(1941±45.31)ml;手术时间352~764 min,平均手术时间(463.54±41.36)min;经两两比较,原发性胸腰椎肿瘤患者术前、术后3个月、末次随访VAS评分对比差异有统计学意义(P<0.05),术后3个月VAS评分较术前低,末次随访VAS评分较术前、术后3个月低(P<0.05);术后6个月Frankel分级优于术前(P<0.05);本组74例患者,感染发生率2.70%(2/74),脑脊液漏发生率2.70%(2/74),胸腔积液发生率1.35%(1/74),经对症处理后均恢复良好。结论全脊椎整块切除术治疗原发性胸腰椎肿瘤患者,可改善疼痛度,减轻脊髓损伤,无术后无明显感染、脑脊液漏、胸腔积液等并发症,可为患者术后恢复提供有利支持。
Objective To investigate the effect of total spinal resection in patients with primary thoracolumbar tumors.Methods 74 patients with primary thoracolumbar tumors were selected and received total spinal resection.Perioperative conditions,visual analogue scale(VAS)scores,Frankel grading,and incidence of complications were collected.Results 897~4512 ml,of bleeding during operation Mean blood loss(1941±45.31)ml;Operation time 352~764 min,Mean operating time(463.54±41.36)min;By comparison,The scores of patients with primary thoracolumbar tumors were statistically significant before and after 3 months VAS last follow-up(P<0.05),After 3 months VAS the score was lower than before,The last follow-up VAS score was lower than that before and after 3 months(P<0.05);The Frankel grade of 6 months after operation was better than that before operation(P<0.05);In 74 cases,Infection rate 2.70%(2/74),Cerebrospinal fluid leak rate 2.70%(2/74),The incidence of pleural effusion was 1.35%(1/74),After the treatment of the disease,the recovery was good.Conclusion The whole spine resection is used to treat patients with primary thoracolumbar tumors,Can improve pain,Reducing spinal cord injury,without postoperative infection,cerebrospinal fluid leakage,pleural effusion,and It can provide favorable support for postoperative recovery.
作者
白素静
李甲振
陈月贤
BAI Sujing;LI Jiazhen;CHEN Yuexian(The First Affiliated Hospital of Zhengzhou University,Zhengzhou,450000)
出处
《实用癌症杂志》
2022年第4期595-597,共3页
The Practical Journal of Cancer
基金
河南省科技攻关计划(编号:122102310134)。
