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目的:探讨姑息减压手术治疗老年脊柱转移瘤的临床效果。方法:选取2011年6月-2014年6月昆明医科大学第三附属医院收治的老年脊柱转移瘤患者28例,随机分成观察组和对照组两组,每组14例。观察组患者实施姑息减压手术治疗,对照组患者实施肿瘤切除手术治疗,观察对比两组患者的手术治疗效果,对两组患者的手术治疗情况进行视觉模拟评分,观察两组患者的临床治疗效果和生存率,使用Kaplan-Meier法评估生存率。结果:经过观察对比,观察组患者的手术时间比对照组短,且出血量也比对照组少,观察组术后并发症发生率明显低于对照组,差异有统计学意义(P<0.05);观察组术后脊髓功能改善情况与对照组比较,差异无统计学意义(P>0.05);两组中位生存时间和生存比率上比较,差异具有统计学意义(P<0.05)。结论:对老年脊柱转移瘤患者实施股息减压手术治疗可以大大减短手术时间、减少术中出血量,还可以大大降低并发症发生率,降低手术治疗风险,但必须根据老年脊柱转移瘤患者的实际病情选择最合适的手术治疗方法,才可能延长患者的生存期。
Objective: To investigate the clinical effect of palliative decompression in the treatment of elderly patients with spinal metastases. Methods: Twenty-eight elderly patients with spinal metastases who were admitted to the Third Affiliated Hospital of Kunming Medical University from June 2011 to June 2014 were randomly divided into observation group and control group, with 14 cases in each group. The patients in the observation group were treated with palliative decompression. The patients in the control group were treated with tumor resection. The surgical treatment effect was compared between the two groups. The visual analog scale was used to evaluate the surgical treatment in both groups. The clinical effects of the two groups were observed Survival rates were assessed using Kaplan-Meier method. Results: After observation and comparison, the operation time of the observation group was shorter than that of the control group, and the amount of bleeding was less than that of the control group. The incidence of postoperative complications in the observation group was significantly lower than that of the control group (P <0.05) ; There was no significant difference between the observation group and the control group in the improvement of spinal cord function (P> 0.05). There was significant difference between the two groups in median survival time and survival rate (P <0.05). Conclusion: Dividend decompression surgery in elderly patients with spinal metastases can greatly reduce the operation time and reduce intraoperative bleeding, but also can greatly reduce the incidence of complications and reduce the risk of surgical treatment, but must be based on the elderly patients with spinal metastases The actual condition of the most appropriate surgical treatment options, it may extend the patient’s survival.