骶骨肿瘤的诊断和外科治疗  

Diagnosis and surgical treatment of sacrum tumors

作　　者：顾雄华[1] 邵卫[1] 陈舰[1] 蔡郑东[1] 纪方[1] 刘植珊[1] 

机构地区：[1]第二军医大学长海医院骨科,上海200433

出　　处：《第二军医大学学报》2001年第10期973-975,共3页Academic Journal of Second Military Medical University

摘　　要：目的 :掌握骶骨肿瘤的诊断依据 ,评估外科治疗的效果。方法 :通过回顾 5 8例骶骨肿瘤的临床资料 ,分析手术步骤、引起并发症的原因及预防措施。 结果 :根据临床症状、体征及影像学改变可作初步诊断。 5 1例获得随访。术后 5年内死亡 8例 (15 .7% ) ,无术中死亡。术后复发 15例 (2 9.4% )。术后发生尿失禁、直肠损伤各 3例。 5 1例中 42例功能结果满意 (82 .4% )。结论 :全身状况较好的骶骨原发肿瘤、原发肿瘤已切除的骶骨转移瘤均为手术适应证 。Objective:To study the foundation for diagnosing sacrum tumors and evaluate the efficacy of surgical treatment. Methods:Clinical data of 58 patients with sacrum tumors were reviewed. Surgical process, causes of complications and preventive measures were detailed. Results:Primary diagnosis could be made on the basis of clinical symptoms, physical signs and imaging. Fifty one patients were followed up. Eight were dead (15.7%) within 5 years, no operative death. Fifteen cases had postoperative recurrence (29.4%). There were injured rectums and urinary incontinence in 3 cases, respectively. Forty two of 51 cases revealed satisfactory functionary results (82.4%). Conclusion:Postoperative recurrence is related to incomplete tumor removal. Primary sacrum tumors with good general condition and matastatic sacrum tumors with the surgical removal of primary malignant tumor are operative indications.

关 键 词：骶骨 骨肿瘤 论断 外科手术 

分 类 号：R738.1[医药卫生—肿瘤] R730.56[医药卫生—临床医学]