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《Chinese Journal of Clinical Oncology and Rehabilitation》 2012-06
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Clinical observation of operation effect on spinal metastatic tumors in 47 patients

YAN Bin(Spine Surgery of the Second People's Hospital of Shenzhen City,Shenzhen 518013,China)  
Objective To study the clinical effects of operation for spinal metastatic tumors.Methods 47 cases of spinal metastatic cancer patients from December 2004 to October 2010 were studied,acrossing to the Tokuhashi spinal metastases scoring system,select the appropriate surgical approach,such as tumor resection of spinal decompression and internal fixation,artificial vertebral body replacement surgery.Before and after treatment,The VAS pain score,spinal cord function and the physical status of patients were compared,followed up all the patients and recorded of all the survival time.Results After the treatment,VAS score was lower than before treatment,the pain in patients changed significantly,the differences were statistically significant(P0.05);The spinal cord function and physical status of patients were also changed significantly,the differences were statistically significant between before and after treatment(P0.05);All the patients were followed up 3 to 49 months,the median survival was 11.4 months.Conclusions In according to the correct rating for the patients with spinal metastatic tumors and the physical status of patients,we selected the reasonable surgery on treatment on spinal metastatic tumors,it made excellent effect,with significant clinical results,the pain,spinal cord and the physical status improved significantly,and the survival rate was also increased.
【CateGory Index】: R738.1
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