腰椎椎体侧方钉技术可增加骨盆肿瘤保肢术后神经痛的风险一项包含349例的单中心回顾性研究

来源 :第17届全国骨肿瘤学术年会 | 被引量 : 0次 | 上传用户:seraph_gigi
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  目的 研究骨盆肿瘤保肢术后神经痛的发生率及其危险因素。方法 作者回顾了自2009年1月至2015年5月在北京大学人民医院骨与软组织肿瘤中心就诊的骨盆肿瘤病例,从中选取术前无重要腰骶神经受累、于我中心行保肢手术的病例入组,共349例。本研究通过回顾入组病例的医学资料统计术后神经痛的发生率及危险因素,并分析26例病例中腰椎椎体侧方钉的进钉位置与神经痛的关系。手术1周后若患者存在以下情况之一则定义为神经痛:1)长期口服加巴喷丁(≥900mg/天)和/或卡马西平(≥200mg/天);2)长期口服阿片类药物且病例中详细记录神经痛的特征。
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