多发性骨髓瘤需不必要做手术？
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">由于</span><span style="color: black;">有些</span>多发性骨髓瘤并发病症的缘故，会驱使患病群体<span style="color: black;">触及</span>到手术治疗。在临床上，手术并不是多发性骨髓瘤的<span style="color: black;">重点</span>治疗方式，但如若病情浸润脊柱、骨盆及股骨等，<span style="color: black;">从而</span><span style="color: black;">导致</span>压缩性骨折等并发问题，必要需动刀手术。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">多发性骨髓瘤<span style="color: black;">必须</span>动刀手术吗?以下这些<span style="color: black;">状况</span>需<span style="color: black;">思虑</span>手术：</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic3.zhimg.com/80/v2-1a842de80bc0c55894cb23d1648d727a_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">第1</span>，脊柱病变压迫脊髓或神经根<span style="color: black;">导致</span>神经功能进行性损害;</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">第二，肿瘤细胞浸润脊柱，并且<span style="color: black;">导致</span>脊柱<span style="color: black;">显现</span>病理性骨折<span style="color: black;">或</span>脊柱不稳定;</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">第三，四肢长骨病病理性骨折或潜在病理性骨折;</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">当<span style="color: black;">显现</span><span style="color: black;">以上</span><span style="color: black;">状况</span>，则<span style="color: black;">必须</span><span style="color: black;">按照</span>主治<span style="color: black;">大夫</span>对总体多发性骨髓瘤病情的<span style="color: black;">评定</span>，来定<span style="color: black;">是不是</span><span style="color: black;">必须</span><span style="color: black;">协同</span>开展手术治疗。在骨质损害比<span style="color: black;">很强</span>的<span style="color: black;">状况</span>，<span style="color: black;">有些</span>骨髓瘤病理是<span style="color: black;">能够</span><span style="color: black;">经过</span>手术治疗让<span style="color: black;">病人</span>的脊柱恢复到稳定状态，因压迫<span style="color: black;">导致</span>的下肢麻木，感觉<span style="color: black;">衰退</span>，<span style="color: black;">乃至</span>运动功能丧失<span style="color: black;">能够</span>得到缓解。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">除此之外，因脊柱骨折<span style="color: black;">不可</span>行走的<span style="color: black;">病人</span>，<span style="color: black;">能够</span><span style="color: black;">经过</span>手术治疗，恢复行走，使得脊柱能够承重，<span style="color: black;">因为</span>手术的固定<span style="color: black;">功效</span>，<span style="color: black;">亦</span><span style="color: black;">能够</span>降低潜在<span style="color: black;">显现</span>骨折的<span style="color: black;">危害</span></p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic4.zhimg.com/80/v2-68a6f0dcaf9c4155f83d6602118e911f_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">手术介入到多发性骨髓瘤的治疗<span style="color: black;">其中</span>，围绕给这部分所需<span style="color: black;">病人</span><span style="color: black;">加强</span>生活质量，<span style="color: black;">增多</span>战胜<span style="color: black;">疾患</span>的<span style="color: black;">自信心</span>为<span style="color: black;">重点</span>目的，有利于<span style="color: black;">疾患</span>的恢复。<span style="color: black;">另一</span><span style="color: black;">导致</span>关注的是，手术后骨髓瘤病人的<span style="color: black;">关联</span>护理，<span style="color: black;">首要</span>是心理上的，<span style="color: black;">意见</span>多进行心理疏导沟通，跟病人聊天，讲趣事等等。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">最后<span style="color: black;">弥补</span>——接触手术治疗的多发性骨髓瘤<span style="color: black;">病人</span>在恢复期的护理<span style="color: black;">重点</span>是更换卧床的姿势，<span style="color: black;">例如</span>翻身抬腿，<span style="color: black;">做为</span>家属<span style="color: black;">能够</span>适当的给病人进行肢体按摩，防止肌肉萎缩。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">原文：</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><a style="color: black;"><span style="color: black;"><span style="color: black;">多发性骨髓瘤<span style="color: black;">必须</span>动刀手术吗？</span><span style="color: black;"><span style="color: black;"></span>mp.weix</span></span></a>in.qq.com/s?__biz=MzIxMzU4OTcwNw==&mid=2247488206&idx=1&sn=840e18070881e826a71828da59fdd51f&chksm=97b5d96aa0c2507c7d291e44f3c894a263a93ee7e487bb2a2a7681a153206e9e066f6a670e9f&token=615836765&lang=zh_CN#rd<span style="color: black;"><img src="https://pic2.zhimg.com/v2-5ea88804b74502f669e542307adea371_180x120.jpg" style="width: 50%; margin-bottom: 20px;"></span></div>
楼主发的这篇帖子，我觉得非常有道理。 我完全同意你的看法，期待我们能深入探讨这个问题。
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