摘要
目的分析脊柱转移瘤患者术后神经功能恢复的影响因素。方法选取脊柱转移瘤患者81例,统计神经功能障碍发生率,收集患者性别、年龄、体质量指数、有无术前放疗、肿瘤直径、肿瘤进展速度等信息,分析患者术后神经功能恢复的影响因素。结果81例脊柱转移瘤患者,术后发生神经功能障碍17例,未发生神经功能障碍64例,发生率20.99%(17/81);年龄、肿瘤进展速度、术前有无神经损伤、术中有无神经牵拉为脊柱转移瘤患者术后发生神经功能障碍的影响因素(P<0.05);logistic回归分析显示,年龄>60岁、肿瘤快速进展、术前有神经损伤、术中有神经牵拉为脊柱转移瘤患者术后发生神经功能障碍的危险因素(P<0.05)。结论老龄、肿瘤快速进展、术前存在神经损伤、术中存在神经牵拉为影响脊柱转移瘤患者术后神经功能恢复的危险因素,临床可据此实施防控措施,降低对患者术后神经功能恢复的影响。
Objective To analyze the influencing factors of postoperative nerve function recovery in patients with spinal metastases.Methods 81 patients with spinal metastases were selected,Statistics on the incidence of neurological disorders were collected,To collect information on sex,age,body mass index,preoperative radiotherapy,tumor diameter,tumor progression rate,The influencing factors of postoperative nerve function recovery were analyzed.Results 81 patients with spinal metastases,Nerve dysfunction occurred in 17 patients,No neurological impairment occurred in 64 cases,Incidence rate was 20.99%(17/81);Age,tumor progression rate,preoperative nerve injury and intraoperative nerve traction were the influencing factors of postoperative neurological dysfunction in patients with spinal metastases(P<0.05);logistic regression analysis showed,age>60 years,rapid tumor progression,preoperative nerve injury,intraoperative nerve traction as a risk factor for postoperative neurological dysfunction in patients with spinal metastases(P<0.05).Conclusion Aging,rapid tumor progression,pre-operative nerve injury and intraoperative nerve pulling are the risk factors for postoperative nerve function recovery in patients with spinal metastases,Clinical prevention and control measures can be implemented accordingly,reduce the effect on postoperative nerve function recovery.
作者
林芬
耿元元
游海霞
LIN Fen;Geng Yuanyuan;YOU Haixia(Zhengzhou Orthopedics Hospital,Zhengzhou,450000)
出处
《实用癌症杂志》
2022年第5期810-812,共3页
The Practical Journal of Cancer
基金
河南省科技攻关计划(编号:172200010104)。
关键词
脊柱转移瘤
神经功能障碍
影响因素
Spinal metastases
Neurological dysfunction
Influencing factors
