摘要
报告１９８８年１月至１９９４年１月对４００例脑深部肿瘤进行４６２次立体定向脑瘤间质放疗手术。其中鞍区１９８例，丘脑及基底节区１２５例，大脑半球深部及颅底区４０例，第三脑室后部１５例，脑室内１０例，小脑半球内７例，脑干内５例。无手术死亡。术后随访２～５年的２７０例中有颅咽管瘤１１５例有效率９１．４％，星形细胞瘤Ⅰ～Ⅱ级１０５例有效率７６．２％。本文重点讨论了立体定向间质内放疗的适应症，同位素的选择，手术方法及初步疗效的判断。
Abstract Four hundred cases of deep seated tumors of the brain were treated by 462 times of CTguided stereotactic interstitial irradiation from January 1988 to January 1994.Among them,198 cases were in the sellar region, 125 in the thalamus and basal ganglion area, 40 in the deep part of cerebral hemispheres and cranial base, 15 in rear of the Ⅲ ventricle, 10 in lateral ventricle, 7 in cerebellar hemisphere, 5 in the brain stem.There was no operative death.Postoperative complication were including intratumor bleeding in 3 cases, oculomotor neyer paralysis in 3 and CSF leakage from the puncture in 2; all of these cases recovered within one month. Follow-up 2 to 5 years,the effect rate was 91.4 % (115/270)in craniopharyngiomas, 76.2% in astrocytomas. The application of this method, the choice of isotopes and the operative experieces were also discussed. We think it is an effective method for treating deepseated brain tumors.
出处
《中华神经外科杂志》
CSCD
北大核心
1995年第6期318-321,共4页
Chinese Journal of Neurosurgery
