在尾骨中单独或多重骨转移
Thea H Ladegaard1, Michala S Sørensen1, Michael M Petersen1
1Musculoskeletal Tumour section, Department of Orthopaedic Surgery, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
The bone & joint journal
|October 31, 2023
概括
在尾骨中单个骨转移的手术治疗比多重转移提供了更好的生存率. 单一转移的完全切除 (R0手术) 显著改善了患者的生存率.
科学领域:
- 整形瘤学 整形瘤学
- 手术瘤学手术瘤学
- 癌症转移研究 癌症转移研究
背景情况:
- 尾骨转移显著影响患者的预后.
- 区分单一和多重骨转移之间的生存结果对于治疗规划至关重要.
研究的目的:
- 为了比较为单独与多个尾骨转移进行手术的患者的生存率.
- 调查完整 (R0) 与不完整 (R1/R2) 切除对单个尾骨转移的存活率的影响.
主要方法:
- 对基于人口的成年患者队列进行了回顾性分析,这些患者因尾骨转移 (2014-2019) 接受了手术治疗.
- 使用卡普兰-梅尔生存分析与日志等级测试.
- 排除未知转移状态或切除边缘的患者.
主要成果:
- 一年生存率为单一骨转移的47%,多重骨转移的34% (p < 0.001).
- 孤独转移的一年生存率为64%没有内脏转移和23%的内脏转移 (p < 0.001).
- 在单一转移中,R0切除的一年生存率为75%,R1/R2切除的42% (p < 0.001).
结论:
- 单个尾骨转移的手术治疗与多重转移相比,与更高的存活率有关.
- 单个尾骨转移的完全切除 (R0) 可能会提高患者的生存结果.
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