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原发性胸腰椎肿瘤的CT诊断和治疗

CT Diagnosis and Treatment on Primary Neoplasms of the Thoracic and Lnmbar Spine
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摘要 本文报告了9例原发性胸腰椎肿瘤,术前均经CT检查,并经病理证实,采取侧前方手术切除肿瘤2例,后路减压、肿瘤部分切除4例,单纯化疗2例,手术结合放疗4例。通过3月~3.5年的随访,作者认为CT对其诊断和治疗选择有着极重要的作用,手术的选择应依肿瘤侵犯的程度、范围及脊椎的部位而采用前和/或后路手术切除肿瘤、固定术,为提高术后疗效,必要时应辅以化疗或放疗。 This article reported 9 cases of primary neoplasms of the thoracic and lumbar spine,all cases had performed CT beforeoperation and proved by pathology.Among the patients,2 cases were treated by total resection of the neoplasms,4 cases by partialresection of the neoplasms and decompression,2 cases with simple chemotherapy,4 cases by resection combined withradiotherapy.Through the follow-up from 3 months to 3.5 years,the authors considered that CT plays an important role in thediagnosis and choice of treatment. According to the degree of invasion and region of the neoplasms,the anterior or/and posteriorapproach for resection of the neoplasms and keeping its stabilization was chosen.In order to enhance the curativeeffect,ifnecessary,the operation should be combined with chemotherapy or/and radiotherapy.
出处 《中国矫形外科杂志》 CAS CSCD 1995年第1期4-5,共2页 Orthopedic Journal of China
关键词 原发性肿瘤 胸腰椎 脊椎肿瘤 CT 诊断 治疗 Primary neoplasms,Thoracic and lumbar spine,CT,Operation.
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