应用伽玛刀治疗脑深部和功能区海绵状血管瘤

Gam m a knife stereotactic radiosurgery for deep location and eloquentarea cavernous angiom as in brain

目的： 探讨伽玛刀对脑深部和功能区海绵状血管瘤（ＣＡ） 的治疗效果及有关问题。方法： 采用伽玛刀对６７ 例大脑半球深部、丘脑、基底节及脑干海绵状血管瘤进行治疗。结果： 随访３ 月～８ 年 （平均２．６ 年）， 评价其治疗效果， ２ 例死于其他疾病， ６ 例行手术治疗。在ＭＲＩ检查随访５９ 例中， 病变稳定好转率达９８％ ， 并且年再出血发生率大大降低。结论： 应用伽玛刀治疗脑深部及险要部位的ＣＡ 是一种无创伤、效果比较好的方法。

Objective: To study gam m a knife treating the deep lacation and eloquentarea cavernous angiom a (CA) in brain.And to analyze the results asw ellas otherquestion. Methods:Sixty- seven patients w ith brain CA located in deep areasofthe hem isphere,thalam us , basalganglia and brain stem have been treated w ith gam - m a knife. Allpatientsw ere studied w ith CT, MRorDSA before applying the radiosurgery. Results: Follow - up of3 m ouths to 8. 2 years (m eanly 2. 6ys) w as carried outand the results w ere analyzed. Tw o patients died from other diseases and 6 patients undw ent open surgery postgam m a knife treatm eat. Consqentfollow - up of59 cases show ed that98% ofthe lesions becam e sm allorstable. And m orbidity rate ofrebleed each year greatly reduced.Conclusion:To treatthe CA located in brain deep and eloquentareas w ith gam m a knife is a m inim alinjury and good w ay.