骶骨肿瘤及其外科治疗（123例手术分析）  

Primary Sacral Tumors and Their SurgicalTreatment:A Report of 1 23 Cases /

作　　者：徐万鹏[1] 宋献文[1] 乐守玉[1] 蔡 伯 吴捷[1] 

机构地区：[1]北京积水潭医院骨肿瘤科

出　　处：《中华骨科杂志》1994年第2期67-71,共5页Chinese Journal of Orthopaedics

摘　　要：从１９５８～１９９０年，治疗１２３例原发骶骨肿瘤，病变包括良性肿瘤３１例，脊索瘤５０例，骨巨细胞瘤２９例，高恶肿瘤１３例。病灶位于Ｓ＿３以上者８５例，Ｓ＿３以下者３８例。全骶骨切除１６例，次全骶骨切除２７例，包括１７例复发的再手术共进行手术１４４次。６例死于术中或术后并发症。１３８次手术成功。随诊９８例，平均随诊时间５．９年。８７例治愈参加原工作；７例有大小便功能障碍和足踝无力；４例因复发和肺转移死亡。作者强调对高恶肿瘤以外的骶骨肿瘤应积极进行外科治疗。AbstractFrom 1958 through 1990,123 patients with primarysacral tumor were treated surgically.The lesions consistedof benign tunnors(3 1 patients)such as neurofibroma,chordoma(50),giant cell tumors(29),and malignantgrowths(13).Eighty-five patients sustained destructionof S_(1～3)vertebrae,and 38 had the neogrowth below S_3.Atotal of 14 4 operations including 16 total and 27 subtotalexcision of the sacrum.as well as 17 for recurrent tumorsin 123 cases were DerfOrmed.Six operations for primarytumors resulted in 3 intraoperative and 3 postoperativedeaths.Thus,138 surgical attempts were stood by the patients. Ninety-eight patients were followed upwith an av-erage period of 5.9 years.87 patients showed good func-tional results and resumed normal life and work ,whereas ufinary incontinence,constipation and weakness of ankles and feet eecurred in 7;4 patients died from local recur-rence and pulmonary metastasis. The factors conducive tosurgical success were stressed.Authors conclude that withthe exception of frank malignancy,surgery shoukl be ad-vised and actively adopted for primary sacral tumors.

关 键 词：骶骨 骨肿瘤 外科手术 

分 类 号：R738.105[医药卫生—肿瘤]