摘要
报告经病理证实的脊柱转移癌１１２例，４３例（３８．４％）未找到原发灶。６９例原发癌中，常见的是肺癌１０例（１４．５％），乳腺癌９例（１３．１％），胃肠癌９例（１３．１％），甲状腺癌８例（１１．６％），肾癌８例（１１．６％），食道癌７例（１０．１％）。手术治疗为主５１例，化疗为主４０例，放疗为主１０例。分析了临床与Ｘ线表现，治疗与预后，认为各种癌脊柱转移的预后不一样，甲状腺癌转移的预后最好，肝癌转移的预后最差，但对同种癌转移而言，早期诊断和综合治疗是影响疗效的主要因素。
One hundred and twelve cases of spinal metastasis vertified by pathology were reported in this paper.The primay tumor was not found in 43 cases (38. 4%). Among 69 cases of primary tumors,lung cancer were 10 cases (14. 5%),mammary cancer and gastrointestinal cancer 9 cases(13.1%) respetively, thyroid and renal cancer & cases (11.6%) and esophageal cancer 7 cases (10.1%). 51 cases were treated by operation,40 by chemotherapy and 10 by radiotherapy mainly. The clincal and radiographic manifestations of these tumors,and their treatment and prognosis were analysed. The author considered that the prognosis of the patients with different primary tumors is not the same. Prognosis of the metastatic lesion of thyroid cancer is the best ,hepatic cancer is the worst.The early diagnosis and the combining therapy are the main factors which influence the curative effect of vertebral homogeneous metastasis. (Department of Orthopedic Surgery,First Affiliated Hospital , West China University of Medical Sciences,Chengdu,Sichuan,610041)
出处
《中国脊柱脊髓杂志》
CAS
CSCD
1994年第1期12-15,共4页
Chinese Journal of Spine and Spinal Cord
