SCORING SYSTEM FOR THE PREOPERATIVE EVALUATION OF METASTATIC SPINE TUMOR PROGNOSIS
SCORING SYSTEM FOR THE PREOPERATIVE EVALUATION OF METASTATIC SPINE TUMOR PROGNOSIS
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DOI：
10.1097/00007632-199011010-00005
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发表时间：
1990-11-01
期刊：
影响因子：
3
通讯作者：
OHSAKA, S
中科院分区：
文献类型：
--
作者：
TOKUHASHI, Y;MATSUZAKI, H;OHSAKA, S
本文对64例脊柱转移性肿瘤的预后进行了评估。评估系统中采用了6个参数：1）一般状况，2）脊柱外骨转移瘤数量，3）椎体内转移瘤数量，4）主要内脏器官（肺、肝、肾和脑）转移瘤，5）癌症原发部位，6）脊髓麻痹严重程度。每个参数的范围为0 - 2分。每例患者的总评分与预后相关，对预后有一定的预测价值，但不能通过单一参数预测预后。结论：评分在9分以上者宜行切除术，评分在5分以下者宜行姑息性手术。
An assessment system for the prognosis of metastatic spine tumors was evaluated for 64 cases who had undergone surgery. Six parameters were employed in the assessment system: 1) the general condition, 2) the number of extraspinal bone metastases, 3) the number of metastases in the vertebral body, 4) metastases to the major internal organs (lungs, liver, kidneys, and brain), 5) the primary site of the cancer, and 6) the severity of spinal cord palsy. Each parameter ranged from 0 to 2 points. The total score obtained for each patient can be correlated with the prognosis, while being valuable in predicting it. However, the prognosis could not be predicted from a single parameter. In conclusion, an excisional operation should be performed on those cases who scored above 9 points, while a palliative operation is indicated for those who scored under 5 points.