Objective to investigate therapeutic methods and effect of X－knife for on intracranial diseases. Method Recent effect of 44 pqtients with cranial diseases by X－knife was observed. Radiological follow－up was perform...Objective to investigate therapeutic methods and effect of X－knife for on intracranial diseases. Method Recent effect of 44 pqtients with cranial diseases by X－knife was observed. Radiological follow－up was performed on 40 cases with mean 5.65 months of follow－up time. Result 92.5％of tumors were controlled locally, stability and recovery rate was 90.0％.The local control of metastatic tumors of brain was higher,but most patients with metastatic tumors died of primary lesion.New metastatic lesions appeared in patients without panencephalic radiotherapy in 1～5months .Tumors of pineal region were sensitive to X－knife.Conclusion X－knife has a definite effect on intracranial diseases .For patients with tumors of pineal region complicated by serious hydrocephalus,shunting should be conducted before X－knife treatment.For patients with mild or morderate hydrocephalus,X－knife chould be utilized only under correct interventions such as dehydration.The local control rate of intracranial metastatic tumors was high,but survival time postoperation depended on panencephalic radiotherapy or control of primafry lision. For tumors with diameter >3cm,pituitary tumors,brains stem tumors and tumors in cerebellopontine angle region repeated X －knife were suggested,which could improve cure rate and decrease complications.展开更多
Objective: To explore the treating method for severe craniocerebral trauma combined with transtentorial hernia in children.Methods: We treated 58 children with severe craniocerebral trauma combined with transtentorial...Objective: To explore the treating method for severe craniocerebral trauma combined with transtentorial hernia in children.Methods: We treated 58 children with severe craniocerebral trauma combined with transtentorial hernia through evacuating the hematomas, incising the tentorium but preserving the floating bone flap between January 1996 and January 2002.Results: GCS was 3-5 in 17 cases and 6-8 in 41 cases. After treatment, 46 patients ((79.30)%) recovered well, 6 ((10.30)%) suffered from mild disability, 1 ((1.72)%) suffered from severe disability, 1 ((1.72)%) was in vegetative state, and 4 ((6.90)%) died.Conclusions: Evacuating hematomas and incising tentorium can effectively treat the child patients with severe craniocerebral trauma combined with transtentorial hernia, which can decrease the disability and mortality rates greatly, preserve the skull, exempt reoperation for cranioplasty and relieve the psychologic and physiologic burden of the child patients.展开更多
文摘Objective to investigate therapeutic methods and effect of X－knife for on intracranial diseases. Method Recent effect of 44 pqtients with cranial diseases by X－knife was observed. Radiological follow－up was performed on 40 cases with mean 5.65 months of follow－up time. Result 92.5％of tumors were controlled locally, stability and recovery rate was 90.0％.The local control of metastatic tumors of brain was higher,but most patients with metastatic tumors died of primary lesion.New metastatic lesions appeared in patients without panencephalic radiotherapy in 1～5months .Tumors of pineal region were sensitive to X－knife.Conclusion X－knife has a definite effect on intracranial diseases .For patients with tumors of pineal region complicated by serious hydrocephalus,shunting should be conducted before X－knife treatment.For patients with mild or morderate hydrocephalus,X－knife chould be utilized only under correct interventions such as dehydration.The local control rate of intracranial metastatic tumors was high,but survival time postoperation depended on panencephalic radiotherapy or control of primafry lision. For tumors with diameter >3cm,pituitary tumors,brains stem tumors and tumors in cerebellopontine angle region repeated X －knife were suggested,which could improve cure rate and decrease complications.
文摘Objective: To explore the treating method for severe craniocerebral trauma combined with transtentorial hernia in children.Methods: We treated 58 children with severe craniocerebral trauma combined with transtentorial hernia through evacuating the hematomas, incising the tentorium but preserving the floating bone flap between January 1996 and January 2002.Results: GCS was 3-5 in 17 cases and 6-8 in 41 cases. After treatment, 46 patients ((79.30)%) recovered well, 6 ((10.30)%) suffered from mild disability, 1 ((1.72)%) suffered from severe disability, 1 ((1.72)%) was in vegetative state, and 4 ((6.90)%) died.Conclusions: Evacuating hematomas and incising tentorium can effectively treat the child patients with severe craniocerebral trauma combined with transtentorial hernia, which can decrease the disability and mortality rates greatly, preserve the skull, exempt reoperation for cranioplasty and relieve the psychologic and physiologic burden of the child patients.
