骶骨脊索瘤病理分型与预后  

Pathological typing and prognosis analysis of sacrococcygeal chordoma

作　　者：兰斌尚[1] 王坤正[1] 张建华 吕惠茹[1] 

机构地区：[1]西安医科大学第二临床医学院骨科,陕西西安710004 [2]西安庆安职工医院骨科,陕西西安710007

出　　处：《临床骨科杂志》2000年第4期263-264,共2页Journal of Clinical Orthopaedics

基　　金：陕西省卫生厅科研基金!资助课题 (编号 :9911)

摘　　要：目的　探讨骶骨脊索瘤临床病理分型与预后的关系。方法　分析 2 4例患者的临床表现、病理分型、手术治疗及随访结果。结果　软骨型 9例 ,平均生存 5 5年 ;典型脊索瘤 15例 ,平均生存 3 5年。 3例手术完全切除 ,随访 2、2 5、4年未复发 ;不完全切除 2 1例 ,2年复发 13例。结论　软骨型脊索瘤比典型脊索瘤预后佳。包括骶骨的肿瘤完全切除术预后良好 ,但常难以实现。Objective To explore the relation between clinical pathological typing and prognosis of sacrococcygeal chordoma. Methods The clinical manifestations, pathological typing, operation results of 24 cases were analysed through followed up. Results 9 cases of cartilagical chordoma survived 5 5 years on average. 15 cases of classical chordoma survived 3 5 year on average. In 3 cases, the tumors on the site under S 3 were completely resected,and no recurrence were observed after 2, 2 5 and 4 years follow up. 13 cases of 21 cases with intracystic resection recurred after 2 years. Conclusion The prognosis of cartilaginous chordoma is better than that of classical chordoma. The complete resection of tumor including sacrum may obtain better result, but it is usually difficult to realize.

关 键 词：脊索瘤 骶骨 预后 病理学 临床 

分 类 号：R681.570.7[医药卫生—骨科学]