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目的 :探讨脊柱肿瘤的诊断、治疗方法。方法 :回顾性分析 1993年 1月至 2 0 0 3年 1月收治的脊柱肿瘤90例 ,其中男 5 1例 ,女 39例 ,平均年龄 4 9.3岁。颈段 12例 ,胸段 35例 ,腰段 2 9例 ,骶段 14例。原发性肿瘤 5 4例 ,其中良性肿瘤 2 5例 ,恶性肿瘤 2 9例。脊柱转移瘤 36例。术前依据影像学确诊。采用前、后路手术切除肿瘤并重建脊柱的稳定性。结果 :优 4 1例 ,良 2 0例 ,一般 17例 ,差 12例。结论 :早期诊断、恰当的入路、稳定性的重建和术后综合治疗是良好效果的保证。
Objective: To investigate the diagnosis and treatment of spinal tumors. Methods: A retrospective analysis of 90 cases of spinal tumors admitted from January 1993 to January 2003, including 51 males and 39 females, with an average age of 4. 9.3 years. 12 cases of cervical segment, 35 cases of thoracic segment, 29 cases of lumbar segment, 14 cases of sacral segment. 54 cases of primary tumors, including 25 cases of benign tumors, 29 cases of malignant tumors. Spinal metastases in 36 cases. Preoperative diagnosis based on imaging. Surgical removal of the tumor using anterior and posterior approaches to reconstruct the stability of the spine. Results: Excellent 4 1 cases, good 20 cases, generally 17 cases, poor in 12 cases. Conclusion: Early diagnosis, proper approach, stability reconstruction and postoperative comprehensive treatment are the guarantees of good results.