长骨转移性病变患者术后预后因素分析

Jun Wang, N. Kharchenko, V. Karpenko
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引用次数: 0

摘要

目前,随着癌症治疗理念的发展,患者的生存率明显提高,但各种转移性病变的发生频率所占的百分比仍然很高。骨骼是转移瘤的主要部位之一。在癌症患者中,骨转移通常意味着疾病处于晚期,预后不好。这些患者通常会出现许多并发症,包括疼痛、活动能力下降、病理性骨折等。患者的生活质量严重恶化。因此,骨转移患者手术治疗的主要目标是尽早恢复患肢功能,缓解疼痛,预防病理性骨折,提高患者术后生活质量。本文献综述分析患者骨转移的发生率,以及长管骨转移灶对不同部位骨转移定位发生率的依赖关系。对转移性骨病变手术治疗的国内外文献进行分析。分析结果表明,手术治疗的特点正在成为影响长骨转移病变患者预后的主要因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Analysis of postoperative prognostic factors in patients with long bones metastatic lesions
Currently, with the development of the concept of cancer treatment, the survival rate of patients has increased significantly, but the percentage of the frequency of various metastatic lesions remains high. The bones of the skeleton are one of the main parts of metastases. In cancer patients, bone metastases usually mean that the disease is at an advanced stage, and the prognosis is not good. These patients often suffer from many complications, including pain, decreased mobility, pathological fractures, etc. The quality of life of patients is seriously deteriorating. Therefore, the main goal of surgical treatment of patients with bone metastases is the earliest possible restoration the function of the affected limb, pain relief, prevention of pathological fractures and the improvement of the quality of life of patients after surgery. This literature review analyzes the incidence of bone metastases in patients, and the dependence of metastatic lesions of long tubular bones on localization incidence of bone metastases in different body parts. The domestic and foreign literature on the surgical treatment of patients with metastatic bone lesions was analyzed. The results of the analysis show that the features of surgical treatment are becoming the main factors influencing the prognosis in patients with metastatic lesions of the long bones.
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