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目的:探讨腰椎椎体恶性肿瘤的侧前方手术和重建的方法,以提高腰椎椎体恶性肿瘤患者的生活质量并延长生存时间。方法:回顾了2000年5月～2004年8月27例腰椎椎体的恶性肿瘤经测前方入路行椎体切除和重建的患者。结果:患者疼痛均有缓解,有神经压迫症状的13例患者,均有不同程度地改善。结论:腰椎椎体恶性肿瘤经侧前方手术和重建可以有效治疗腰椎椎体恶性肿瘤,提高患者的生活质量并延长其生存时间。
Objective: To explore the method of lateral anterior surgery and reconstruction of lumbar vertebral body malignant tumor to improve the quality of life and extend the survival time of patients with lumbar vertebral body malignant tumor. Methods: From May 2000 to August 2004, 27 patients with malignant tumors of the lumbar vertebrae underwent anterior vertebral body excision and reconstruction. Results: All patients had pain relief. Thirteen patients with symptoms of nerve compression had improvement to varying degrees. Conclusion: The operation and reconstruction of lumbar vertebral body malignant tumor can effectively treat lumbar vertebral body malignant tumor, improve the quality of life of patients and prolong its survival time.