梁柱德　宁金沛　李国栋

【摘要】目的：观察与探讨脊柱转移肿瘤血供3D数字化评估对患者治疗效果及生存质量的影响。

方法：选取2016年1月-2017年6月本院收治的48例脊柱转移肿瘤患者为研究对象。按照随机数字表法将其分为观察组和对照组，各24例。对照组进行常规治疗，观察组则以脊柱转移肿瘤血供3D数字化评估为指导进行治疗。比较两组术中出血量、临床治疗效果（临床总有效率、VAS评分）及治疗前后的生存质量评分（EORTC QLQ-BM22量表）。结果：观察组术中出血量小于对照组（U=2.271，P=0.023）；观察组临床总有效率为91.67%，高于对照组的62.50%（字2=5.779，P=0.016）；治療后3 d及4周，观察组VAS评分、EORTC QLQ-BM22量表各个模块评分均优于对照组，比较差异均有统计学意义（P<0.05）。结论：脊柱转移肿瘤血供3D数字化评估对患者治疗效果较好，且对生存质量有积极的影响。

【关键词】脊柱转移肿瘤；血供3D数字化评估；治疗效果；生存质量

Observation on the Influence of 3D Digitization Evaluation of Blood Supply in Spinal Metastases for the Treatment Effect and Life Quality/LIANG Zhude，NING Jinpei，LI Guodong，et al.//Medical Innovation of China，2018，15（23）：059-062

【Abstract】Objective：To observe and investigate the influence of 3D digitization evaluation of blood supply in spinal metastases for the treatment effect and life quality.Method：A total of 48 patients with spinal metastases from January 2016 to June 2017 in our hospital were selected as the research subjects.According to the random number table method，they were divided into observation group and control group，24 cases in each group.The control group were treated with routine treatment，the observation group were treated with the treatment guided by the 3D digitization evaluation of blood supply in spinal metastases.The intraoperative blood loss，clinical effect（total clinical effective rate and VAS score） and life quality score（EORTC QLQ-BM22 scale） before and after treatment of two groups were compared.Result：The intraoperative blood loss of observation group was less than that of control group（U=2.271，P=0.023）.The total effective rate of observation group was 91.67%，which was higher than 62.50% of control group（字2=5.779，P=0.016）.After treatment 3 d and 4 weeks，the VAS score and each module score of the EORTC QLQ-BM22 scale in observation group were better than those of control group，the differences were statistically significant（P<0.05）.Conclusion：The treatment effect of 3D digitization evaluation of blood supply in spinal metastases in the patients is better，and its influence for the life quality is active.

【Key words】Spinal metastases；3D digitization evaluation of blood supply；Clinical effect；Life quality

First-authors address：Wuzhou Red Cross Hospital，Wuzhou 543002，China

doi：10.3969/j.issn.1674-4985.2018.23.015

脊柱转移肿瘤在临床并不少见，其中以手术治疗本类疾病的研究多见。本类手术难度较大，术中出血量较多，因此对本类手术患者进行治疗的过程中，此方面的控制是手术的重点评估方面之一。脊柱转移肿瘤血供3D数字化评估是通过3D的方式重建肿瘤血供，然后以此为依据进行治疗干预，达到提升疗效的作用[1-2]。另外生存质量对肿瘤患者的评估意义较高，可综合反映患者的生存状态，因此对此方面的监测价值也较高[3]。本研究就脊柱转移肿瘤血供3D数字化评估对患者治疗效果及生存质量的影响进行观察与研究，现报道如下。……