转移性脊柱肿瘤的手术并发症和预防策略-中华老年骨科与康复电子杂志

文章信息/Info

Title:: Surgical complications and prevention strategies for metastatic spinal tumors

作者:: 胡宏志1; 杨文博1; 邓翔天2; 王佰川1; 张志才1; 刘建湘1; 吴强1; 邵增务1; 430022 武汉，华中科技大学同济医学院附属协和医院骨科1；300071 天津，南开大学医学院2

Author(s):: Hu Hongzhi1; Yang Wenbo1; Deng Xiangtian2; Wang Baichuan1; Zhang Zhicai1; Liu Jianxiang1; Wu Qiang1; Shao Zengwu1.; 1Department of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China; 2School of Medicine, Nankai University, Tianjin 300071, China

Keywords:: Spinal tumor; Metastatic tumor; Surgical treatment; Complication; Risk factor; Prevention strategy

摘要:: 随着肿瘤综合治疗水平的提高，癌症患者的平均预期寿命得到延长，转移性脊柱肿瘤的发病率也越来越高。转移性脊柱肿瘤作为一种全身性疾病，需要多学科的治疗方法。其中，手术治疗是重要组成部分，可以显著缓解疼痛，恢复脊柱稳定性，降低脊髓压迫的可能性，显著改善患者的生活质量。然而，由于这些患者的健康状况较差，手术治疗会增加围手术期并发症的风险。充分认识和了解可能发生的并发症原因和预防策略有助于降低不必要并发症的发生。本文重点综述转移性脊柱肿瘤手术相关的并发症、潜在的危险因素及预防策略，为脊柱转移瘤患者的治疗提供一定的参考价值。

Abstract:: With the improvement of comprehensive treatment for cancer, the average length of life expectancy is increased, and the incidence of metastatic spinal tumors is increasing. As a systemic disease, metastatic spinal tumor requires multidisciplinary treatment. Among which, surgical treatment is an important part, which can significantly relieve pain, restore spinal stability, reduce the possibility of spinal cord compression, and significantly improve the quality of life of patients. However, surgery increases the risk of perioperative complications due to the poor health of these patients. Fully understanding the causes of the possible complications and prevention strategies might help reduce the incidence of unnecessary complications. This review article focuses on the complications, potential risk factors and prevention strategies related to the surgery of metastatic spinal tumor, providing a certain reference value for the treatment of patients with spinal metastatic tumor.