CAJ | 학술논문

目的：探讨一期后路全脊椎切除治疗胸腰椎恶性肿瘤的临床疗效。方法：将本院骨科收治的45例胸腰椎恶性肿瘤患者随机分为两组，均采用一期后路全脊椎切除治疗，其中对照组采取分块切除治疗，试验组采取整块切除治疗。比较两组患者各项手术指标及临床治疗效果。结果：45例患者手术期无1例死亡，两组患者治疗后VAS平均评分均明显低于治疗前，差异均有统计学意义（P<0.05）；试验组患者平均手术时间、术中平均出血量、术中平均输血量均明显低于对照组，两组比较差异有统计学意义（P<0.05）；对照组患者8例发生局部复发，5例于随访期间死亡；所有45例患者Frankel分级均有1级以上恢复。结论：一期后路全脊椎切除治疗胸腰椎恶性肿瘤安全性较高，临床疗效显著，整块切除法较分块切除法疗效更佳。
목적：탐토일기후로전척추절제치료흉요추악성종류적림상료효。방법：장본원골과수치적45례흉요추악성종류환자수궤분위량조，균채용일기후로전척추절제치료，기중대조조채취분괴절제치료，시험조채취정괴절제치료。비교량조환자각항수술지표급림상치료효과。결과：45례환자수술기무1례사망，량조환자치료후VAS평균평분균명현저우치료전，차이균유통계학의의（P<0.05）；시험조환자평균수술시간、술중평균출혈량、술중평균수혈량균명현저우대조조，량조비교차이유통계학의의（P<0.05）；대조조환자8례발생국부복발，5례우수방기간사망；소유45례환자Frankel분급균유1급이상회복。결론：일기후로전척추절제치료흉요추악성종류안전성교고，림상료효현저，정괴절제법교분괴절제법료효경가。
Objective:To investigate the clinical effect of en bloc spondylectomy via posterior approach for thoracolumbar spinal malignant tumors. Method:A total of 45 cases of thoracolumbar spinal malignant tumors underwent spondylectomy via posterior approach in the hospital. All the patients were randomly divided into two groups,and the control group were adopted block resection,the experimental group were taken the whole block resection. The operation indexes and clinical treatment effect were compared. Result:There was no death in operation period. The average VAS score after treatment were significantly lower than before treatment(P<0.05);The average operation time,intraoperative blood loss,intraoperative blood transfusion volume of experimental group patients were significantly lower than the control group(P<0.05);Eight cases of patients with local recurrence and 5 cases died during the follow-up in the control group;All patients had neurofunction improved at least one Frankel grade after surgery. Conclusion:En bloc via the posterior approach for the thoracolumbar spinal malignant is reliable,and the clinical curative effect is distinct. The entire block excision method block excision method curative effect is better the anther one.