头颅伽玛刀治疗临床应用探讨

Influence of therapy with cranial γ knife on patients and clinical doctors

目的:探讨头颅伽玛刀(简称γ刀)对医院、医师、病人的影响。方法:对7年中γ刀治疗病人及8年住本院垂体腺瘤与脑膜瘤病人数量的变化,以及39年的垂体腺瘤平均住院日、术前住院日、术后住院日进行比较分析。结果:γ刀治疗病人数量呈逐年增长趋势,平均年递增率为25.02%;反映出医师已将γ刀治疗作为常规方法之一,且已被患者广泛接受。住本院病人的平均年递增率为14.27%,垂体腺瘤与脑膜瘤病人分别为46.13%和27.34%;提示γ刀治疗促进了颅内肿瘤病人收治量的增加。垂体腺瘤治疗的平均住院日、平均术前住院日、平均术后住院日;启用γ刀以前分别为33.23、15.67、19.86 d,启用γ刀以后为11.87、5.426、.74 d;启用γ刀以前,开颅手术分别为35.44、15.671、9.86 d;启用γ刀以后,开颅手术分别为21.81、8.411、3.35 d,γ刀治疗分别为6.90、3.78、3.12 d;提示γ刀治疗自身的医疗效率高,并带动了开颅手术的效率提高。结论:γ刀作为一种高新技术的医疗手段已被医师和患者广泛接受,对医院提高医疗效率和颅内肿瘤病人收治量具有促进作用,有利于医院多收病人而增加收入和减少病人医疗费用负担。

Objective：To investigate the influence of therapy with cranial γ knife on patients and clinical doctora. Methods：The eases of patients with hypophyseal adenoma and meningiomatosis in our hospital in the last 39 years were collected and analyzed. Some parameters of therapeutic results were compared between the surgical therapy and γknife tlaempy. Results： The number of patients who received＇γ knife therapy had an increasing tendency year by year in the last 7 years and the increasing rate was 25.02%, which indicated that clinical doctors already took γ knife therapy as a routine method and more and more patients accepted it as an effective therapy. The increasing rate of in - hospital patients was 14. 7%, and the increasing rates of the patients with hypophyseal adenoma and meningiornatosis were 46. 13% and 27. 34%, respectively, which indicated that cranial γ knife therapy made the number of in T hospital patients with intraeranial tumor increased. The mean in - hospital days, mean in - hospital days before and after surgery for patients with hypophyseal adenoma were 33. 23, 15.67 and 19. 86 days, respectively, before application of γknife therapy, and 11.87, 5.42 and 6. 74 days, respectively, after application of γknife therapy. For cranial surgery, above data were 35. 44, 15.67 and 19. 86 days, respectively, before application of γknife therapy, and 21. 81, 8. 41 and 13. 35 days, respectively, after application of γknife therapy. The data of γknife therapy were 6. 90, 3.78 and 3.12 days, respectively, which indicated that γknife therapy was an effective therapy and shortened in - hospital time of patients with cranial tumors. Conclusion： γ knife therapy has been accepted as an effective therapy for cranial tumor by patients and doctors and it can increase efficiency of medical treatment, reduce medical burden of patients and make hospital gain more income by means of increasing number of in - hospital patients.