urmjУральский медицинский журналUral Medical Journal2949-4389Ural State Medical University10.25694/URMJ.2018.11.12urmj-339Research ArticleНЕВРОЛОГИЯNEUROLOGYКачество жизни пациентов после хирургического лечения метастатического поражения позвоночникаQuality of life of patients after surgical treatment of spinal metastasesБоровиковаИ. А.BorovikovaI. A.irina110397@mail.ruДубскихА. О.DubskikhA. O.noemail@neicon.ruГорныхК. А.GornykhK. A.noemail@neicon.ruФилимоноваП. А.FilimonovaP. A.noemail@neicon.ruМишинаМ. О.MishinaM. O.noemail@neicon.ruКуэйяр-ЕгороваО. М.CuellarEgorova O.M.J.noemail@neicon.ruКиселёваК. Е.KiselevaK. E.noemail@neicon.ruГБУЗ СО "Свердловский областной онкологический диспансер"Russian FederationГБУЗ СО "Свердловский областной онкологический диспансер"; ФГБОУ ВО Уральский государственный медицинский университет Минздрава РоссииRussian FederationФГБОУ ВО Уральский государственный медицинский университет Минздрава РоссииRussian Federation2018140420210111015Copyright © Боровикова И.А., Дубских А.О., Горных К.А., Филимонова П.А., Мишина М.О., Куэйяр-Егорова О.М., Киселёва К.Е., 20212021Боровикова И.А., Дубских А.О., Горных К.А., Филимонова П.А., Мишина М.О., Куэйяр-Егорова О.М., Киселёва К.Е.Borovikova I.A., Dubskikh A.O., Gornykh K.A., Filimonova P.A., Mishina M.O., Cuellar E.O., Kiseleva K.E.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.umjusmu.ru/jour/article/view/339

Хирургическая тактика лечения метастазов позвоночного столба становится всё более распространённой, что требует определения оптимального объёма помощи, приводящей к повышению качества и продолжительности жизни при минимальной операционной травме. С целью оценки качества жизни (кЖ) пациентов, прооперированных по поводу метастатического поражения позвоночника, проведён проспективный анализ объективных клинических и лабораторно-инструментальных данных пациентов с метастатическим поражением позвоночника с октября 2016 года по август 2018 года на базе нейрохирургического отделения ГБУЗ СО "СООД". В работе использованы: шкала ECOG, индекс карновского, анкеты SF-36 и EQ-5D, шкалы Bauer, Tomita, Tokuhashi, Frankel, ВАШ, SINS. критерием включения явился любой прооперированный и гистологически подтверждённый случай метастатического поражения позвоночника, кроме миеломной болезни. Проводилась оценка КЖ и болевого синдрома по ВАШ у пациентов на дооперационном этапе и в послеоперационном периоде через 3, 6 и 12 месяцев. Выявлена положительная динамика по болевому синдрому, качеству жизни и уровню функциональной активности в послеоперационном периоде, что свидетельствует о целесообразности комбинированного лечения пациентов с метастатическим поражением позвоночника.

The surgical approach of spinal metastases treatment is becoming more common and it requieres a certain optimal surgical critical care that at minimum surgical trauma it will increase the life quality and prolong the patients lifetime. The prospective analysis of clinical and lab data of the patient cases was carried out. The cases were reviewed from October of 2016 to August of 2018 to evaluate the life quality of the patients after their surgery for metastatic spine lesions at the Department of Neurosurgery GBUZ SO SOOD Hospital. Evaluated parameters: performance status, Karnofsky performance score, SF-36 and EQ-5D health questionnaires, Tomita, Tokuhashi, Frankel scores, VAS, SINS score. All the cases after the surgery that had a histological confirmation of metastatic spine lesions except myeloma cases were reviewed. The life quality was evaluated and the Visual Analog scale of the patients was calculated at the pre-operative stage and the post-operative stage after 3, 6 and 12 months. We found positive changes in the pain syndrome, life quality and level of functional activity in post-operative stage. This evidences the viability of the combined modality treatment of the patients with metastatic spine lesions.

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The authors declare that there are no conflicts of interest present.