中国骨伤2025，Vol.38Issue(2)：157-163,7.DOI:10.12200/j.issn.1003-0034.20240153
分离手术治疗伴有神经症状的脊柱转移瘤
Clinical efficacy of separation surgery in treating spinal metastases accompanied by neurological symptoms
王强 1陆旻昊 1王兴武 1方明 1俞武良 1陆建猛1
作者信息
- 1. 宁波大学附属第一医院脊柱外科,浙江 宁波 315000
- 折叠
摘要
Abstract
Objective To explore the safety and effectiveness of separation surgery in patients with neurological symptoms of spinal metastases.Methods From January 2020 to December 2022,14 patients with neurological symptoms of spinal metas-tases underwent separation surgery,including 7 males and 7 females,aged from 30 to 76 years old with an average of(61.57±12.16)years old.In comparison with eleven patients underwent conservative treatment during the same period,including 6 males and 5 femals,aged from 46 to 88 years old with an average of(66.55±12.32)years old.The changes in visual analogue scale(VAS),Frankel grades,Karnofsky scores,and quality of life score(QOL)before and after treatment were compared be-tween two groups.Results Fourteen patients in the separation surgery group underwent surgery successfully,with surgery time of(218.57±50.00)minutes and intraoperative blood loss of(864.29±332.97)ml,2 patients developed delayed hematoma and recovered well finally after emergency surgery,the follow-up time was 3 to 36 months,after separation surgery,the pain was significantly relieved,and neurological function recovered well in the patients.Three months after treatment,the VAS in the separation surgery group(1.43±0.76)scores was significantly lower than that in the conservative treatment group(8.64±0.51)scores(P＜0.05);and the Frankel grades,Karnofsky scores,and QOL scores in the separation surgery group were significantly better than those in the conservative treatment group(P＜0.05).Conclusion For patients with obvious neurological symptoms of spinal metastases,separation surgery not only can rapidly relieve nerve compression but also carry relatively low surgical risks,and improve the quality of life of patients.关键词
分离手术/脊柱转移瘤/神经症状Key words
Separation surgery/Spinal metastases/Neurological symptom分类
临床医学引用本文复制引用
王强,陆旻昊,王兴武,方明,俞武良,陆建猛..分离手术治疗伴有神经症状的脊柱转移瘤[J].中国骨伤,2025,38(2):157-163,7.
