老年人颅内肿瘤的临床特征与中西结合诊治(附34例报告)  

Combining Traditional Chinese Medicine with West-ern Medicine for Treatment of Elderly Patient with In-tracranial Tumors

作　　者：龙新兵[1] 韩富[1] 傅泉[1] 朱明[1] 

机构地区：[1]广东省中医院神经外科,广东广州510120

出　　处：《中国神经肿瘤杂志》2003年第4期246-248,共3页Chinese Journal of Neuro-Oncology

摘　　要：老年人的颅内肿瘤并非少见,治疗难度大。本文结合我们的临床经验,探讨老年人颅内肿瘤的临床特征,中西结合治疗以提高老年人颅内肿瘤的疗效。方法:本组收集65岁以上的老年颅内肿瘤34例,分别采用手术或非手术治疗,并在术前、术后采用中西结合方法或用保守治疗方法对34例颅内肿瘤患者进行治疗。结果:19例行手术切除肿瘤,5例行脑室腹腔分流手术,γ-刀治疗4例,非手术治疗6例。手术全切肿瘤18例,大部切除1例,姑息手术即仅行脑室腹腔分流手术5例。治愈4例,好转23例,病情无变化7例,无手术死亡。结论:老年人颅内肿瘤有其独特性,使用中西结合方法可提高疗效。BACKGROUND & OBJECTIVE: Intracranial tumors in the elderly are not rare. It is diffi-cult to cure the tumors. In this paper, we studied the clinical features of the intracranial tumors in the elderly and explore how we might improve their outcome. METHODS: 34 cases of patients over 65 years old with intracra-nial tumors were treated by operation,γ-knife and non-operation, respectively. Traditional Chinese medicine was used in conjunction with the above methods during the peri-operative period or during conservative treatment.RESULTS: 19 cases were resected totally or subtotally. Five cases had V-P shunt insertion. Four cases were treated with γ-knife. Six cases were treated with non-operative means. Four cases were cured. Twenty-three cases improved clinically. Seven cases maintained the previous condition. There was no postoperative mortali-ty. CONCLUSION: There are special clinical features of the intracranial tumors in the elderly. Combining tradition-al Chinese and modern western medicine may improve the outcome of the elderly patients suffering from intracra-nial tumors..

关 键 词：老年人 颅内肿瘤 中西结合治疗 

分 类 号：R739.4[医药卫生—肿瘤]