摘要
目的 探讨恶性肿瘤并发脊髓压迫症 (SCCS)的定位诊断及急诊处理。方法 对 2 9例恶性肿瘤并发脊髓压迫的临床表现及影像学检查进行分析 ,根据原发肿瘤的性质及临床表现分别给予急诊放疗、化疗及手术处理。结果 MRI对SCCS的定位诊断阳性率为 10 0 .0 % ;对SCCS引起疼痛、感觉异常、瘫痪的缓解率 ,急诊放疗分别为 91.7%、85 .7%、5 0 .0 % ;急诊化疗则分别为 10 0 .0 %、6 6 .7%、2 2 .0 % ;急诊手术对疼痛的缓解率为 10 0 .0 % ,余无缓解。结论 MRI对SCCS有很高的定位及定性价值 。
Objective To explore the niveau dignosis and emergent management on spinal cord compression sygndrome (SCCS) due to malignant tumours.Methods Clinical manifestation and imaging scaning of 29 cases of SCCS were analysed.According the characteristics of primary malignant tumors and clinical presentation,emergent radiotherapy and chemotherapy and operative management were carried out individually.Results The accuracy of MRI was 100.0% in niveau diagnosis of SCCS;The remission rate for pain,numbness and paralysis was 91.7%,58.7% and 50% respectively in 22 cases of SCCS undergoing emergent radiotherapy,while it was 100.0%,66.7% and 22.0% respectively in 5 case of SCCS undergoing emergent chemotherapy.Conclusions MRI has significantly value in niveau diagnosis of SCCS.Emergent radiotherapy is significantly effective and is the first choice in treating SCCS.
出处
《中国肿瘤临床与康复》
2001年第2期83-84,共2页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
恶性肿瘤
脊髓压迫症
急诊处理
放疗
化疗
外科手术
治疗
malignant tumorous
spinal cord compression syndrome
emegency management
radiotherapy
chemotherapy
operation
