放射性脑损伤的防治——附典型病例并文献复习
摘要
近些年钴60、直线加速器、X刀、γ刀、内放射等,广泛应用于脑瘤的治疗,取得一定疗效,但放射性脑损伤的严重并发症甚至死亡,也屡见不鲜,值得重视.本文结合典型病例复习文献并探讨对策.
出处
《临床神经外科杂志》
CAS
2004年第4期184-185,插4,共3页
Journal of Clinical Neurosurgery
参考文献7
-
1王锐,孙立,康静波,聂青,田增民,李士月.脑肿瘤放疗后脑损伤的治疗[J].肿瘤防治研究,2002,29(5):391-393. 被引量:3
-
2[4]Plowman PN.Stereotactic radiosurgery Ⅷ.The calassification of postradiation reactions.Bri J of Neurosurgery,1999,13:256
-
3[6]Schultheiss TE,KunLE,Ang KK,et al.Radiation response of the central nervous system.Int J Radiation Oncology Biol Phys,1995,31:1093
-
4肖建平,蔡伟明,徐国镇,孟涛,苏学曾,欧阳汉.16例鼻咽癌放疗后脑损伤分析[J].中华放射肿瘤学杂志,1997,6(3):162-166. 被引量:15
-
5楚建军,苏燎原,许昌韶,谢其根,章国芬,周菊英,王震吾,刘芬菊.羟基丁酸对放射性脑损伤的保护作用[J].中国航天医药杂志,2003,5(2):1-3. 被引量:4
-
6[10]Buatti JM,Friedman WA,Theele DP,et al.The lazaroid U74389G Protects normal brain from stereotactic radiosurgery Induced radiation injury.Int J Radiation Oncology Biol phy,1996,34:591
-
7[11]Erol FS,Tapsakal C,Ozveren MF,et al.Protective effects of melatonin and vitamine E in brain damage due to gamma radiation.Neurosurg Rev,2004,27:65
二级参考文献20
-
1[1]Berge G, Brun A, Hakansson CH, et al. Sensitivity to irradiation of the brain stem. Irradiation myelitis in treatment of a nasopharynx carcinoma. Cancer, 1974,33(5): 1263-1268.
-
2[2]Archer DB, Amoaku WM, Gardiner TA. Radiation retinopathy-clinical, histopathological,ultrastructural and experimental correlations. Eye, 1991,5(Pt2): 239-251.
-
3[3]Brown GC, Shields JA, Sanborn G, et al. Radiation optic neuropathy. Ophthalmology, 1982,89(12): 1489-1493.
-
4[4]Tada-E, Matsumoto K, Kinoshita K, et al. Combined brachytherapy and external beam radiotherapy in normal monkey brains--experimental radiation necrosis evaluated by sequential magnetic resonance imaging.Neurol Med Chir (Tokyo), 1998,38(4): 203-212.
-
5[5]Van Den Aardweg GJ, Hopewell JW, Whitehouse EM. The radiation response of the cervical spinal cord of the pig; Effects of changing the irradiation volume. Int J. Radiat Oncol Biol Phys, 1995, 31(1): 51-55.
-
6[6]Schultheiss TE,Stephens LC, Maor MH,et al. Analysis of the histopathology of radiation myelopathy. Int J. Radiat Oncol Biol Phys, 1988, 14(1): 27-32.
-
7[7]Zierhut D, Flentje M, Adolph J, et al. External radiotherapy of pituitary adenomas. Int J Radiat Oncol Biol Phys, 1995, 33: 307-314.
-
8[8]Lefaix JL, Delanian S, Leplat JJ, et al. Successful treatment of radiation-induced fibrosis using Cu/Zn-SOD and Mn-SOD: an experimental study. Int J radiat Oncol Biol Phys, 1996, 35(2): 305-312.
-
9[1]Colbourne F, Auer RN, Sutherland GR. Characterization of postis chemic behavioral deficits in rat gerbils with and without hypother mic neuroprotection [J]. Brain Res, 1998,803(2):69- 78.
-
10[2]Kennedy AS, Archambeall JO, Archambeall MH. Magnetic res- onance imaging as a monitor of changes in the irradiated rat brain: an aid in determining the time course of events in a histologic study [J]. Invest Radiol, 1995;30(4):214- 220
共引文献19
-
1楚建军,周菊英,赵涤非,王明智,范强,王震吾.γ-羟丁酸钠联合放疗治疗恶性脑胶质瘤[J].中国神经肿瘤杂志,2003,1(4):219-222.
-
2梁恩来,赖应龙.扩治疗对放射性颞下颌关节强直功能改善的疗效观察[J].中国康复理论与实践,2006,12(8):725-726.
-
3霍红梅,王琛,张志琳.安定对放射性脑损伤自由基的影响[J].苏州大学学报(医学版),2007,27(2):200-202. 被引量:3
-
4鲍光明,李军,诸宝康,沈永锋.放射性脑脊髓损伤临床分析[J].浙江创伤外科,2010,15(4):453-454.
-
5邢志伟,徐彦金,曹永珍,魏建,姜恩海,赵欣然,杨宝柱,江波,张宝库.放射性脑损伤诊断标准的研究[J].中国辐射卫生,2010,19(4):405-406. 被引量:5
-
6孔琳,张有望.鼻咽癌放射治疗后神经系统后遗症[J].中华放射肿瘤学杂志,1999,8(3):181-183. 被引量:12
-
7凌昕,付真富.鼻咽癌放疗后放射性脑病的研究进展[J].中外医疗,2011,30(16):181-183. 被引量:7
-
8何丽佳,易炜,夏云飞.鼻咽癌放射性脑损伤的研究进展[J].中国神经肿瘤杂志,2008,6(4):249-252.
-
9殷立亮,陈博,郎锦义.鼻咽癌放射性脑损伤研究进展[J].肿瘤预防与治疗,2012,25(3):198-201. 被引量:4
-
10解金明,朱世杰,程志强,李佩文.李佩文治疗放射性脑病临证经验[J].中国中医基础医学杂志,2012,18(7):750-751. 被引量:3
-
1杨志祥,王方薪.事故性局部放射损伤诊断和治疗中值得重视的几个问题[J].中华放射医学与防护杂志,1995,15(3):210-212. 被引量:2
-
2仲伯,孙宪志.诊断婴幼儿肺炎值得重视的几个方面[J].中外医用放射技术,1997(1):1-1.
-
3于志国,郎大山,王凯辉,郭立群.部队卫生工作存在的问题及对策[J].沈阳部队医药,2012,25(5):358-359.
-
4李顺利,周府伯.飞行人员跟腱断裂7例[J].航空航天医学杂志,2012,23(9):1049-1050. 被引量:1
-
5陈玲.非离子型血管造影剂临床应用毒副反应的观察分析[J].中国微循环,2004,8(6):406-406.
-
6孙玉安,王建华,王清华.影响胸部高千伏摄影影像质量的因素及对策[J].山东医药,2004,44(26):32-32. 被引量:1
-
7宦丽群,陈秋香.预防CT增强扫描非离子型造影剂的副反应体会[J].江西医药,2009,44(6):640-641. 被引量:1
-
8石洁,程树群.放射治疗肝癌门静脉癌栓的现状及展望[J].中国微创外科杂志,2005,5(2):125-126. 被引量:5
-
9刘晓晴,雷应权,彭传利.高原新兵训练伤521例分析[J].临床军医杂志,2002,30(4):64-65. 被引量:5
-
10李国强.对我院学生运动损伤的调查及分析初探[J].商情(科学教育家),2008,0(4):424-424.