视力视野受累型垂体瘤的γ-刀放射外科治疗
被引量:1
摘要
几乎所有的γ-刀放射外科专家都认为视力视野受累型巨大垂体瘤的γ-刀放射外科治疗有病情加重之虞,但临床上始终有一部分患者山于某种原因不能手术,或经历过一次或二次神经外科手术后复发等不同原因放弃了手术。面对这部分患者γ-刀放射外科通过改变治疗规划实施治疗,笔者体会,根据定位图像对瘤周剂量线、分割做个性化规划仍能取得较理想效果。
出处
《实用医药杂志》
2008年第8期997-998,共2页
Practical Journal of Medicine & Pharmacy
参考文献5
-
1Backlund EO, Ganz JC. The effects of gamma knife surgery of pituitary denomas on tumors growth and endocrinopathies. Stereotact Funct Neurosurg, 1993,61(Suppl 1):3.
-
2刘如恩,赵洪洋.伽玛刀治疗视神经压迫垂体腺瘤的可行性研究[J].中国微侵袭神经外科杂志,2005,10(8):355-357. 被引量:3
-
3Valention V, Postoperatlon radiosurgery of pituitary adenomas. J Neurosurg Sci, 1991,35:207.
-
4陈立朝,许民辉,邹咏文,陈广鑫,杨东虹,沈光建,张云东,徐伦山,周椿.显微手术结合伽玛刀治疗颅咽管瘤的临床分析[J].第三军医大学学报,2005,27(21):2184-2186. 被引量:3
-
5王宏伟,张国荣,刘沙,朱利峰,李明珠.巨大垂体腺瘤的伽玛刀治疗(附42例报道)[J].立体定向和功能性神经外科杂志,2005,18(5):299-301. 被引量:4
二级参考文献19
-
1Valention V. Postoperative radiosurgery of pituitary adenomas[J]. J Neurosurg Sci, 1991,35:207 ~ 211.
-
2Ganz J C,Aanderud S,Mork SJ,et al. Tumor Volume reduction following gamma knife radiosurgery: the relationship between ray and histological findings [ J ]. Acta Neurochir Suppl Wien, 1994,63: 39 ~ 42.
-
3Martinez R,Brave G,Burzaco J,et al. Pituitary tumors and gramma knife surgery: clinical experience with more than years of follow-up[ J ]. Stereotact Funct Neurosurg. 1998,70(suppl) :110~ 118.
-
4Back lund Eo. Johansson L. Sarby B, Study on craniopharyngiomas[ J ]. Acta Chir Scnd, 1972,138: 749 ~ 751.
-
5Isaac M A, Hahn S S, Kim J A, et al. Management of craniopharyngioma[J]. Cancer J, 2001, 7(6): 516-520.
-
6Shirane R, Ching Chan S, Kusaka Y, et al. Surgical outcomes in 31 patients with craniopharyngiomas extending outside the suprasellar cistern: an evaluation of the frontobasal interhemispheric approach[J]. J Neurosurg, 2002, 96(4): 704-712.
-
7Nicolato A, Foroni R, Rosta L, et al. Multimodality stereotactic approach to the treatment of cystic craniopharyngiomas[J]. Minim Invasive Neurosurg, 2004, 47(1): 32-40.
-
8Stafford S L, Pollock B E, Leavitt J A, et al. A study on the radiation tolerance of the optic nerves and chiasm after stereotactic radiosurgery[J]. Int J Radiat Oncol Biol Phys, 2003, 55(5): 1177-1181.
-
9Chung W Y, Pan D H, Shiau C Y, et al. Gamma knife radiosurgery for craniopharyngiomas[J]. J Neurosurg, 2000, 93(Suppl 3): 47-56.
-
10Ulfarsson E, Lindquist C, Roberts M, et al. Gamma knife radiosurgery for craniopharyngiomas: long-term results in the first Swedish patients[J]. J Neurosurg, 2002, 97(Suppl 5): 613-622.
共引文献7
-
1刘琨,赵相立,王国栋,陈成雨,刘运振.立体定向内放疗联合γ-刀治疗复发性颅咽管瘤[J].中国微侵袭神经外科杂志,2008,13(3):118-120. 被引量:6
-
2王鹏,于金明,潘绵顺.伽玛刀治疗无功能型垂体腺瘤的临床疗效观察[J].中华肿瘤防治杂志,2008,15(22):1742-1745. 被引量:3
-
3伍炜,罗光华,应克明,黄本生,袁同方.伽玛刀治疗颅咽管瘤疗效观察[J].中国基层医药,2009,16(8):1403-1404. 被引量:1
-
4李鹏,王伟,扬威,毛伯镛,王兴,钟琪,任海波.伽玛刀治疗垂体腺瘤远期疗效观察[J].华西医学,2010,25(9):1638-1640. 被引量:2
-
5何占彪,王宏伟,朱利峰,张国荣,祁艺,徐雪杉.功能性垂体腺瘤伽玛刀治疗[J].立体定向和功能性神经外科杂志,2011,24(4):230-233. 被引量:1
-
6康文星.垂体瘤立体定向放射外科治疗进展[J].现代医学,2012,40(2):247-249. 被引量:4
-
7于雷,胡祥华,谭永利,王莹莹,孙效刚.手术、伽玛刀联合治疗垂体大腺瘤52例临床分析[J].立体定向和功能性神经外科杂志,2012,25(4):219-221. 被引量:1
同被引文献37
-
1Laws ER,Sheehan JP,Sheehan JM,et al.Stereotactic radiosurgery for pituitary adenomas:a review of the literature[J].Neurooncol,2004,69:257-272.
-
2Melmed S.Medical progress:Acromegaly [J].N Engl J Med,2006,355:2558-2573.
-
3Losa M,Mortini P,Barzaghi R,et al.Early results of surgery in patientswithnonfunctioningpituitaryadenoma and analysis of the risk of tumorrecurrence [J].J Neurosurg,2008,108:525-532.
-
4Brochier S,Galland F,Kujas M,et al.Factors predicting relapse of nonfunctioningpituitarymacroadenomas after neurosurgery:a study of 142 patients [J].Eur J Endocrinol,2010,163:193-200.
-
5Park P,Chandler WF,Barkan AL,et al.The role of radiation therapy after surgical resection of nonfunctional pituitary macro adenomas [J].Neurosurgery,2004,55:100-106.
-
6Leksell L.The stereotactic method and radiosrugery of the brain[J].Acta Chir Scand,1951,102:316.
-
7Tishler RB,Loeffler JS,Lunsford LD,et al.Tolerance of cranial nerves ofthe cavernous sinus to radiosurgery [J].Int J Radiat Oncol Biol Phys,1993,27:215-221.
-
8Leber KA,Bergloff J,Pendl G.Dose-response tolerance of the visual pathway sand cranial nerves of the cavernous sinus to stereotactic radiosurgery [J].J Neurosurg,1998,88:43-50.
-
9Stafford SL,Pollock BE,Leavitt JA,et al.A study on the radiation tolerance of the optic nerves and chiasm after stereotactic radiosurgery[J].Int J Radiat Oncol Biol Phys,2003,4:55(5):1177-1181.
-
10Weber DC,Momjian S,Pralong FP,et al.Adjuvant or radical fractionated stereotactic radiotherapy for patients with pituitary functional and nonfunctional macroadenoma[J].Radiation Oncology,2011,6:169.
-
1王俊,刘立军,方培海,王红权,党燕威.鞍结节脑膜瘤的显微手术治疗[J].现代中西医结合杂志,2011,20(18):2286-2287.
-
2周译永.颅咽管瘤58例视力视野检测分析[J].四川医学,2003,24(7):676-677. 被引量:2
-
3范振增,何瑞荣,陈炳桓,杨炯达.颈动脉海绵窦瘘及动、静脉瘤的放射外科治疗[J].立体定向和功能性神经外科杂志,2000,13(2):117-119.
-
4王镛斐.垂体瘤病人为何视力视野受损?[J].健康伴侣,2011(12):58-58.
-
5李欣星,罗平,虞德明,江竟成.巨大垂体瘤1例报道[J].泸州医学院学报,2013,36(2):180-180.
-
6王君芝,逯传风,黄梅英,刘英超.侵袭性巨大垂体瘤36例术后并发症的护理[J].齐鲁护理杂志,2007,13(22):32-33. 被引量:3
-
7郑履平,唐文渊.鞍上、下联合入路切除巨大垂体瘤[J].中华神经外科杂志,1989,5(1):45-46. 被引量:5
-
8梁军潮,赖晃文,张小鹏,吴鸿勋,王玉宝,郑文岭,王伟民.伽玛刀治疗颅内肿瘤的形态观察与临床关系探讨[J].功能性和立体定向神经外科杂志,1999,12(2):16-18. 被引量:1
-
9王飞.经纵裂入路切除鞍区肿瘤的策略[J].中国医药指南,2013,11(11):112-113.
-
10刘桂玲,李蕊仙.三维适形放疗治疗食管癌患者的护理体会[J].基层医学论坛,2008,12(24):725-726. 被引量:1