显微手术治疗颈段椎管内肿瘤预后的相关影响因素分析  

Analysis of Related Factors Affecting the Prognosis of Microsurgical Treatment ofCervical Intraspinal Tumors

作　　者：游海霞 李凯璐 林芬[1] YOU Haixia;LI Kailu;LIN Fen(Zhengzhou Orthopaedic Hospital,Zhengzhou,450000)

机构地区：[1]郑州市骨科医院,450000 [2]郑州市南曹乡卫生院,450000

出　　处：《实用癌症杂志》2022年第1期166-168,共3页The Practical Journal of Cancer

摘　　要：目的分析显微手术治疗颈段椎管内肿瘤预后的相关影响因素。方法选取颈段椎管内肿瘤患者79例,均行显微手术治疗,统计预后效果,收集患者性别、年龄、肿瘤直径、肿瘤性质等信息,分析预后相关影响因素。结果79例患者中,预后良好63例(79.75%),预后不良16例(20.25%)。年龄、肿瘤直径、肿瘤性质、手术方法、肿瘤切除情况、术中有无神经电生理监测、术前肌力情况、术后是否使用激素是颈段椎管内肿瘤患者预后不良的影响因素(P<0.05);Logistic回归分析显示,年龄≥60岁、肿瘤直径≥4 cm、恶性肿瘤、全椎板手术、肿瘤次切除、术中无神经电生理监测、术前肌力<3级、术后未使用激素为颈段椎管内肿瘤患者预后不良的危险因素(P<0.05)。结论老年患者、肿瘤直径长、恶性肿瘤、全椎板手术、肿瘤次切除、术中无神经电生理监测、术前肌力分级低、术后未使用激素是显微手术治疗颈段椎管内肿瘤预后不良的危险因素,临床可据此制定合理防范措施,提高预后效果。Objective To analyze the prognostic factors of microsurgical treatment of cervical spinal tumors.Methods 79 patients with cervical spinal canal tumor were treated with microsurgical treatment,prognosis results were analyzed,To collect information on gender,age,diameter,nature of tumor,and to analyze the prognostic factors.Results Of the 79 patients,The prognosis was good in 63 cases(79.75%),The prognosis was poor in 16 cases(20.25%).Age,tumor diameter,tumor nature,surgical methods,tumor resection,intraoperative neuroelectrophysiological monitoring,preoperative muscle strength,postoperative use of hormones were the prognostic factors of cervical spinal canal tumor patients(P<0.05);logistic regression analysis showed that age≥60 years,tumor diameter≥4 cm,malignant tumor,total laminectomy,tumor secondary resection,no neuroelectrophysiological monitoring during operation,preoperative muscle strength<grade 3,and postoperative non-use of hormones were risk factors for poor prognosis in patients with cervical intravertebral tumors(P<0.05).Conclusion Elderly patients,long diameter tumor,malignant tumor,total laminectomy,tumor resection,no neurophysiological monitoring during operation,low preoperative muscle strength grading,and no use of hormone after operation are risk factors for poor prognosis of cervical spinal canal tumors,Clinical can be based on the formulation of reasonable preventive measures,and improve the prognosis.

关 键 词：颈段椎管内肿瘤 显微手术 预后效果 影响因素 

分 类 号：R739.91[医药卫生—肿瘤]