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目的 :丰富骨转移癌手术治疗临床经验。方法 :1998年 5月～ 2 0 0 1年 8月共手术治疗骨转移癌患者 15例中 ,男性 10例、女性 5例 ,年龄 2 8～ 72岁 ,转移灶在股骨 10例、脊柱 2例、骨盆 2例、肱骨 1例 ,手术采取瘤段骨切除并人工假体置换 7例 ,骨水泥填充加内固定 8例。结果 :15例中 ,13例 (86 6 % )疼痛明显缓解或消失 ,11例 (76 6 % )生活质量明显改善 ;随访3个月～ 2年 ,术后 3个月死亡 1例、4～ 6个月死亡 5例、7～ 12个月死亡 4例、12～ 18个月死亡 3例 ,存活 2年以上 2例。结论 :骨转移癌手术治疗的目的是缓解疼痛、改善生存或生活质量 ,正确掌握手术适应证 ,手术方式恰当 ,可达到此目的 ,并可延长患者的生存时间
Objective: To enrich the clinical experience of surgical treatment of bone metastases. Methods: From May 1998 to August 2001, 15 cases of bone metastases were treated by surgery. There were 10 males and 5 females, aged 28 to 72 years. There were 10 cases of metastases in the femur and 2 cases of spine , Pelvis in 2 cases and humerus in 1 case. Tumor resection was performed in 7 cases and bone prosthesis replacement in 7 cases. Eight cases were filled with bone cement and internal fixation. Results: Among the 15 cases, 13 cases (86.6%) had pain relief or disappearance, and 11 cases (76.6%) had significant improvement in quality of life. Patients were followed up for 3 months to 2 years, 1 case died 3 months after operation, 5 died in 6 months, 4 died in 7 to 12 months, 3 died in 12 to 18 months and 2 survived in 2 years. Conclusion: The purpose of surgical treatment of bone metastases is to relieve pain and improve the quality of life or living. Appropriate surgical indications and appropriate surgical procedures can achieve this goal and prolong the survival time of patients