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松果体区肿瘤伴脑积水V-P分流后再行伽玛刀治疗效果观察 被引量:1

Efficacy of GKS after V-P shunt in treatment of pineal region tumor with hydrocephalus
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摘要 目的 探讨松果体区肿瘤伴脑积水行V-P分流后再行肿瘤伽玛刀的临床疗效。方法 选取我院2012年6月~2013年6月收治的20例松果体区肿瘤伴梗阻性脑积水患者作为研究对象,先行V-P分流术解除脑积水,伤口愈合好再行肿瘤伽玛刀治疗,随访0.5~3年,观察其对松果体区肿瘤伴梗阻性脑积水的临床效果。结果 所有患者经脑室-腹腔分流术治疗后,症状均得到明显缓解,术后3 d行头颅CT复查显示脑室较术前有一定程度的缩小;伤口愈合好后再行伽玛刀治疗,术后随访发现,肿瘤消失9例,肿瘤不同程度减小10例,1例肿瘤无明显变化者再次行伽玛刀治疗后肿瘤减小。结论 V-P分流术后再行伽玛刀治疗对松果体区肿瘤并梗阻性脑积水的临床治疗效果显著,该技术值得在临床推广应用。 Objective To explore the clinical efficacy of gamma knife surgery (GKS) after V-P shunt in treatment of pineal region tumor with hydrocephalus. Me, otis A total of 20 patients with pineal region tumor with obstructive hydrocephalus admitted to our hospital from June 2012 to June 2013 were selected. They received V-P shunt to relieve hydrocephalus and then GKS when the wound was healed. Follow-up visit was paid to the patients from half a year to three years in order to observe the clinical efficacy of gamma knife surgery (GKS) after Y-P shunt in treatment of pineal region tumor with obstructive hydrocephalus. Results The symptoms of the patients were significantly relieved after V-P shunt. As shown in the CT reexamination three days after the operation, the ventricle shrank to a certain extent compared with that before the operation. The patients received GKS when the wound was healed. During the post-operation follow-up visit, it was discovered that the tumor in nine patients disappeared, reduced to different degree in 10 patients and showed no obvious change in one patient but reduced after another GKS. Conclusion GKS after V-P shunt shows remarkable clinical efficacy in the treatment of pineal region tumor with obstructive hydrocephalus and is worth clinical popularization and application.
作者 彭宗军 陈辉
机构地区 四川友谊医院
出处 《西南国防医药》 CAS 2016年第7期796-797,共2页 Medical Journal of National Defending Forces in Southwest China
关键词 松果体区肿瘤 梗阻性脑积水 V-P分流术 伽玛刀治疗 pineal region tumor obstructive hydrocephalus V-P shunt GKS
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