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目的分析某院进行手术治疗的骶骨肿瘤患者的资料,探讨手术治疗在骶骨肿瘤治疗中的作用。方法采用后路,前后路方法对骶骨肿瘤进行骶骨全部切除或部分切除,术后随访至5年,以评价其疗效。结果 50例患者除7例患者出现继发感染和切口感染外,余43例均未发生感染,所有病例安全度过手术期,并且疼痛减轻,功能恢复良好。50例病例均获随访,随访时间为5年,1年生存率为80%,2年生存率为52%,3年生存率为38%,5年生存率为34%。结论手术治疗骶骨肿瘤对于肿瘤引起的疼痛有较好的缓解作用,并且可延长生存期,因此手术治疗对于骶骨肿瘤有较好的作用。
Objective To analyze the data of patients with sacral tumors undergoing surgery in a hospital and explore the role of surgical treatment in the treatment of sacral tumors. Methods The sacral tumor was resected or partially resected by posterior approach and anteroposterior approach. The patients were followed up for 5 years to evaluate the curative effect. Results All of the 50 patients except 7 patients had secondary infection and incision infection. No infection occurred in the remaining 43 cases. All the cases were safely operated through surgery and the pain was relieved and the function recovered well. Fifty cases were followed up for 5 years. The 1-year survival rate was 80%, the 2-year survival rate was 52%, the 3-year survival rate was 38%, and the 5-year survival rate was 34%. Conclusion Surgical treatment of sacral tumors has a good effect on tumor-induced pain relief and prolongs survival. Therefore, surgical treatment of sacral tumors has a good effect.