立体定向放射手术并发症的防治

Prevention and Treatment of Complications Caused by Brain Stereotactic Radiosurgery

目的：Ｘ（γ）－刀治疗副反应的临床防治。方法：回顾性分析８３例实施Ｘ－刀治疗，临床发生放射性副反应的４０例病人，对适应证选择、治疗前后处理提出临床建议。结果：明确了Ｘ（γ）－刀治疗禁忌证，对该法治疗前后临床处理提出可行之方法。结论：１）Ｘ（γ）－刀为行之有效的治疗方法。２）本组病例用该法治疗后临床副反应发生率为５２．６％（４０／７６），偏高。３）合理的辅助治疗是防治副反应的有效方法。４）该法实施。

Purpose: To prevent and treat the sideeffects of Xknife therapy for brain tumors. Method: On the basis of retrospective analysis of 40 patients who underwent Xknife surgery for brain tumors complicated with various sideeffects,we put forward some clinical proposals concerning the indications of the surgery,the pre and post operative management.Results:The contraindications of the treatment were defined, and the pre and post operative management were recommended. Conclusion: 1) Xknife surgery is effective for some brain diseases. 2) The side effect rate was as high as 52.6% (40/76). 3)Reasonable adjunctive treatment is effective for prevention and treatment of the sideeffect. 4) Selection of patient must be strict.