低能X线术中放疗在颅内室管膜瘤中的应用(附5例报告)
摘要
室管膜瘤起源于脑室和脊髓中央管的室管膜细胞,仅约占颅内胶质瘤的5%-6%。室管膜瘤对放疗敏感。目前有效的治疗策略为手术切除及术后放疗口。术中放疗技术(intra—operative radiotherapy,IORT)可以给予瘤床直接照射而周围正常组织接受剂量小,抑制肿瘤在等待外放疗期间生长,是外放疗的很好补充治疗方案。新型可移动术中放疗设备术中光子治疗仪(INTRABEAM)使用的射线为低能x线,可应用于普通手术室。目前INTRABEAM在神经外科室管膜瘤领域应用的安全性及疗效的研究很少,国内无相关报道。
出处
《中华神经外科疾病研究杂志》
CAS
2017年第3期264-265,共2页
Chinese Journal of Neurosurgical Disease Research
参考文献2
-
1张宗银,张紫寅,唐建建,谢雪梅.幕上室管膜瘤放射治疗方案与患者预后研究[J].检验医学与临床,2014,11(17):2419-2422. 被引量:1
-
2李泽福,徐启武,车晓明,杨伯捷.侧脑室室管膜下室管膜瘤的诊断与治疗[J].中华神经外科疾病研究杂志,2004,3(1):36-38. 被引量:1
二级参考文献32
-
1Merchant TE, Pollack IF, Loeffler JS. Brain tumors across the age spectrum:biology, therapy, and late effects[J]. Se- rain Radiat Oncol,2010,20(1) :58-66.
-
2Schmidt AT, Martin RB, Ozturk A, et al. Neuroimaging and neuropsychological follow-up study in a pediatric brain tumor patient treated with surgery and radiation [J]. Neurocase,2010,16(1) :74-90.
-
3Richards Air, Rosenfeld J V, Gonzales MF, et al. Supraten- torial tanycytic ependymoma[J]. J Clin Neurosci,2004,11 (8) :928-930.
-
4Ono S,Iehikawa T, Ono Y, et al. Large supratentorial ec- topic ependymoma with massive calcification and cyst for- mation-case report [J]. Neurol Med Chir (Tokyo), 2004, 44(8) :424-428.
-
5Valera ET, Machado HR, Santos AC, et al. The use of neoadjuvant chemotherapy to achieve complete surgical resection in recurring supratentorial anaplastic ependy- moma[J]. Childs Nerv Syst, 2005,21 (3) : 230-233.
-
6Fruhwald MC, Rickert CH, O' Dorisio MS, et al. Soma- tostatin receptor subtype 2 is expressed by supratentorial primitive neuroectodermal tumors of childhood and can be targeted for somatostatin receptor imaging[J]. Clin Canc- er Res,2004,10(9) :2997-3006.
-
7Ahmadi R, Schmitt HP, Kunze S, et al. Supratentorial ma- lignant ependymoma in childhood: 16 years without re-lapse after hemispherectomy[J]. Childs Nerv Syst, 2005, 21 (2): 156-160.
-
8Warmuth-Metz M, Kuhl J, Krauss J, et al. Subdural en- hancement on postoperative spinal MRI after resection of posterior cranial fossa tumours[J]. Neuroradiology, 2004, 46(3) :219-223.
-
9Gomez DR,Missett BT,Wara WM,et al. High failure rate in spinal ependymomas with long term follow-up [J]. Neuro Oncoi,2005,7(3) :254-259.
-
10Duffner PK, Horowitz ME, Krischer JP, et al. Postopera- tive chemotherapy and delayed radiation in children less than three years of age with malignant brain tumors[J]. N Engl J Med,1993,328(24) :1725-1731.
-
1孙金鹏,熊依林,雷光华.膝关节后纵隔解剖特点及其在关节镜手术中的应用[J].中国修复重建外科杂志,2013,27(2):233-235. 被引量:4
-
2王刚.中西医结合治疗肛瘘的研究进展[J].国际中医中药杂志,2008,30(5):380-380.
-
3苏维敏.神经节苷脂联合切开复位内固定手术治疗髋臼骨折并坐骨神经损伤的疗效观察[J].中国实用神经疾病杂志,2016,19(19):106-108.
-
4刘晓华,高志宏,王军.颅内胶质瘤误诊1例[J].医用放射技术杂志,2005(3):92-93.
-
5董永飞,牛朝诗.术中超声神经导航技术在颅内胶质瘤手术中的应用[J].中国微侵袭神经外科杂志,2011,16(5):235-237. 被引量:13
-
6蒋伯刚,陈林,张汉超.三阴性乳腺癌的研究进展[J].中国妇幼保健,2012,27(30):4819-4821. 被引量:6
-
7卢刚,李云漳.脑室—腹腔分流术治疗脑积水的临床评价[J].浙江医学情报,1990(3):28-29.
-
8周劲松,刘守勋.内镜神经外科学与有关的脑室解剖[J].陕西医学杂志,1992,21(11):679-680. 被引量:3
-
9李强,高志,程松苗,胡勇,张旸,郑伟.膝关节游离体关节镜手术取出策略[J].实用医院临床杂志,2013,10(5):213-215.
-
10陈陆馗,张俊卿,黄延林,戚远光,陈锷,李泉清,张峰林,唐建建.神经导航在颅内胶质瘤显微手术的应用[J].医师进修杂志(外科版),2004,27(5):12-14. 被引量:3