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目的报道手术治疗骨转移癌的临床经验。方法１９８８年２月－１９９７年３月共手术治疗骨转移癌８９例。其中男５８例，女３１例。年龄１０－７４岁，其中４１－７０岁７２例，占８０．９％。其最好发部位分别是脊柱２３例，股骨２２例和骨盆１３例，而最常见的原发肿瘤分别是肺癌２２例，肝癌１１例。手术可分止痛、稳定瘤骨和肿瘤切除三大类。结果８９例中，７７例（８６．５２％）疼痛缓解或消失。７３例获随访（１－９年），１例术后３天死亡，术后３个月内死亡６例，４－６个月死亡７例，７－９个月死亡１２例，１０－１２个月死亡１８例，１－２年死亡１５例，５例２年以后死亡，至今存活９例，其中１例甲状腺癌脊柱转移者已存活６年。结论 骨转移癌手术的目的是缓解疼痛、改善生存质量和在可能情况下延长生命，而骨转移癌患者的生存时间主要与原发癌的组织学特征有关而与手术本身关系不大。
Objective To report the clinical experience of surgical treatment of bone metastases. Methods From February 1988 to March 1997, 89 cases of bone metastases were treated surgically. There were 58 males and 31 females. Age 10-74 years old, including 72 cases 41-70 years old, accounting for 80.9%. The best sites were 23 cases of spine, 22 cases of femur and 13 cases of pelvis. The most common primary tumors were 22 cases of lung cancer and 11 cases of liver cancer. Surgery can be divided into pain, stable tumor and tumor resection three categories. Results Of the 89 patients, 77 (86.52%) had pain relief or disappeared. 73 cases were followed up (1-9 years), 1 died 3 days after operation, 6 died within 3 months after operation, 7 died after 4-6 months, 12 died after 7-9 months, 10-12 There were 18 deaths in a month, 15 deaths in 1-2 years, and 5 deaths in 2 years. 9 patients survived so far, and 1 of them had survived 6 years of spinal metastases. Conclusion The purpose of bone metastatic carcinoma surgery is to relieve pain, improve the quality of life, and prolong life if possible. The survival time of patients with bone metastases is mainly related to the histological features of the primary cancer and has little to do with the operation itself.