摘要
本文报道13例脊索瘤,脊索瘤生长缓慢,恶性度低,早期无明显临床表现,随后出现疼痛、便秘、排尿困难、局部肿块等症状。X线片见溶骨性病变。CT检查极有价值。本组均施行手术。包膜下刮除者9例,其中1例术后24h死亡,7例1年内复发,另1例11年后因复发而死亡。骶骨部分切除术4例,术后大小便功能恢复正常,均存活,无复发或转移。
Thirteen patients with chordoma(9 males and 4 females), arising from the sacro-coccygeal region in 11, and from the spheno-occipital area in 2, a re reported. The age ranges from 19 to 63 years with an average of 47.5. Chordoma in a slowly growing tumor of low-grade malignancy often with no clinical manisfestations in the early stage of the disease. At a later stage, pain, constipation, dysuria, local mass and other symptoms appear. X-ray examination usually shows a lytic bone lesion. Computed tomography is of great value in the investigation.
All the thirteen patients Underwent surgery. Subcapsular curretage were performed in 9, one died 24 hours after operation, 7 had recurrences in a year, and the other one died of the tumor recurrence in 11 years. Partial resection of the sacrum were ordered in 4 with lesions in the sacrum. They are regained normal urinary function and anal sphincter function after operation, and had a long period of well-being without recurrence or metastasis.
出处
《蚌埠医学院学报》
CAS
1990年第1期48-51,共4页
Journal of Bengbu Medical College
关键词
脊索瘤
包膜下刮除
骶骨部分切除
chordoma
subcapsular curretage
partial resection of the sacrum
