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題 名 | Posterior Decompression and Stabilization for Metastatic Spine Diseases=轉移性脊椎病變:由後位減壓術和內固定術的外科療法 |
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作 者 | 陳力輝; 牛自健; 傅再生; 賴伯亮; 黃澤波; 陳文哲; | 書刊名 | 長庚醫學 |
卷 期 | 27:12 2004.12[民93.12] |
頁 次 | 頁903-910 |
分類號 | 416.61 |
關鍵詞 | 轉移性脊椎病變; 後位手術; 固定術; Metastatic spine disease; Posterior decompression; Stabilization; |
語 文 | 英文(English) |
中文摘要 | 背景: 本回溯性研究的目的在於探討,以後位減壓術及內固定術來治療胸腰椎癌轉移病變的臨床結果。 方法:由1980至2001年間,共有70位脊椎轉移病變的病人接受以後位作脊索減壓術及金屬內固定的外科手術,男性38位,女性32位,年齡分布由24歲至75歲(平均58歲),根據病歷資料分析其存活時間、臨床表現、影像學發現及手術預後。 結果:61位病人(87%)存活超過3個月,49位病人(70%)存活超過6個月,35位病人在術後平均24個月(範圍13至40個月)時,仍存活著。所有病人術後都有維持著良好的脊椎穩定度,60位有嚴重疼痛病人中,47位(78.3%)得到明顯疼痛症狀減輕,達3個月或更久的時間。在54位有神經缺失病人中,38位(70.1%)獲得神經功能的改善,60位術前因疼痛或半癱而臥床的病人中,36位(60%)得到活動力增加。 結論:這研究的臨床結果顯示,特定選擇的病人發生胸腰椎轉移性病變,經由後位手術予以減壓術及內固定外科療法,具有神經功能恢復,疼痛減輕及活動能力增加之療效。 |
英文摘要 | Background: The purpose of this study was to investigate the clinical result of posterior decompression and stabilization for metastatic disease of the thoracolumbar spine. Methods: From 1980 to 2001, 70 consecutive patients with spinal metastases underwent palliative surgery by posterior decompression of spinal cord and subsequent stabilization with instrumentation. There were 38 women and 32 men. Their ages ranged from 24 to 75 years (mean 58 years). We retrospectively reviewed medical records to analyze their survival, clinical presentations, image findings and surgical outcomes. Results: Sixty-one patients (87%) survived longer than 3 months. Forty-nine patients (70%) survived longer than 6 months, of whom 35 patients were still alive at an average of 24 months (range 13-40 months) after surgery. All maintained spinal stability postoperatively. Forty-seven of 60 patients (78.3%) with severe pain obtained significant symptomatic relief for 3 months or more, and 38 of 54 (70.1%) paralyzed patients gained neural improvement of the 60 patients bedridden before surgery due to pain or paresis, 36 patients (60%)experienced an increase in activity tolerance. Conclusions: The result of this study shows that neurological recovery, pain relief and mobility can be enhanced by posterior decompression and stabilization in highly selective patients with spinal metastases. |
本系統中英文摘要資訊取自各篇刊載內容。