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收治骶骨肿瘤21例,包括骨巨细胞瘤8例,脊索瘤7例,神经纤维瘤和腺瘤各2例,骨髓瘤和低恶脂肪瘤侵犯骶骨各一例。全部病例采用手术治疗,共22次手术。其中骶骨次全切除13例,肿瘤刮切术9例。全麻插管,以前后联合手术入路为主,但有4例S3以下肿瘤单纯后路手术。随访19例患者平均2.5年,15例获良效,骶尾部疼痛消失,大小便及行走功能正常;3例有大小便功能障碍,其中一例踝跖屈力较差,另有一例复发再次手术。作者认为骶骨肿瘤应采取手术治疗,术后配合放射治疗,是目前治疗骶骨肿瘤较好的方案
Twenty-one cases of sacral tumors were treated, including 8 cases of giant cell tumor of bone, 7 cases of chordoma, 2 cases of neurofibroma and adenoma respectively, and 1 case of myeloma and low malignant lipoma invading the sacrum. All cases were treated with surgery for a total of 22 surgeries. Including 13 cases of subtotal excision of the humerus, 9 cases of tumor scraping. General anesthesia was intubated, and the previous combined approach was the main method, but there were 4 cases of S3 tumors with simple posterior surgery. After follow-up for 19 patients for an average of 2.5 years, 15 patients received good results. The pain in the sacrococcygeal end disappeared, and the urine and walking function were normal. In 3 cases, there was a dysfunction in the stool, one of which was poor flexion and one case was relapsed again. surgery. The author believes that sacral tumors should be treated with surgery. Postoperative radiotherapy is a better option for the treatment of sacral tumors.