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1988～1998年间我们采用经盆腔前入路与骶臀后入路方法治疗复发骶椎巨大脊索瘤6例,均成功切除肿瘤。现介绍如下。 1 临床资料 1.1 一般资料:本组男性2例,女性4例。年龄12～63岁,平均39岁。既往经过1次手术3例,2次手术3例。术后经过放射治疗5例。肿瘤大小(CT、MRI)前后径9.6～21.4cm,左右径8.6～19.2cm,垂直径7.2～16.8cm。 1.2 治疗结果:术后切口愈合甲级1例,乙级3例,丙级2例。尿便功能正常3例,近于正常1例,轻度障碍1例,轻度失禁1例。6例全部随访,1例1年后死于结肠造瘘合并症,随访时间2年1例,3年1例,6年1例,7年1例,10年1例。
From 1988 to 1998, we used anterior pelvic approach and iliac hip approach to treat 6 cases of recurrent epiphysial giant chordoma. All of them were successfully resected. The introduction is as follows. 1 Clinical data 1.1 General information: There are 2 males and 4 females in this group. Age 12 to 63 years old, average 39 years old. The previous surgery was performed in 3 cases and 2 cases in 3 cases. After radiotherapy in 5 cases. Tumor size (CT, MRI) anteroposterior diameter 9.6 ~ 21.4cm, lateral diameter 8.6 ~ 19.2cm, vertical diameter 7.2 ~ 16.8cm. 1.2 The results of treatment: Postoperative incision healed in 1 case in grade A, grade 3 in grade B, and grade 2 in grade C. Urinary function was normal in 3 cases, nearly normal in 1 case, mild in 1 case, and mild incontinence in 1 case. All patients were followed up in 6 cases. One patient died of complications of colostomy 1 year later. The follow-up time was 2 years in 1 case, 3 years in 1 case, 6 years in 1 case, 7 years in 1 case, 10 years in 1 case.