骶骨原发性肿瘤的外科治疗  

Surgical treatment of primary tumors of the sacrum

作　　者：胡军[1] 张爱斌[1] 宋建新[1] 周江南[2] 

机构地区：[1]汕头大学医学院第一附属医院骨科,广东省汕头515041 [2]中南大学湘雅医院骨科

出　　处：《中国基层医药》2006年第12期1949-1950,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨骶骨原发性肿瘤的临床特征、诊断及治疗方法。方法分析18例骶骨原发性肿瘤患者临床资料,其中脊索瘤12例,骨巨细胞瘤5例,骨肉瘤1例。均行肿瘤切除,术后放疗或化疗,随访4-8年。结果本组18例除1例脊索瘤及2例骨巨细胞瘤患者术后局部复发,再次手术切除,其他患者经随访术后无复发。结论脊索瘤在原发性骶骨肿瘤中的发病率居首,应采取以手术为主的综合治疗。Objective To study the clinical characteristics, pathological type,diagnosis, treatment and followup result of the primary tumors of the sacrum. Methods The cases of 18 patients with primary tumors of the sacrum were treated by operation（ 12 cases with chordoma, 1 case with osteosarcoma, 5 cases with giant cell tumor of bone）, patients with chordoma performed by radiotherapy after operation, and all patients had been followed up for 4 8 years. Results 15 patients were cured and 3 patients were recurred after operation. Conclusions Chordoma is the most frequent tumor in primary sacrum tumor. This kind of tumor should be treated by surgical and other assist methods.

关 键 词：脊柱 肿瘤 手术治疗 

分 类 号：R739.93[医药卫生—肿瘤]