立体定向放射性外科治疗方法简介(附脑转移瘤3例初步治疗报告)  

Preliminary Report of Stereotactic Radiosurgery for Metastatic Brain Tumors

作　　者：孟昭信[1] 范乃斌[1] 孙仲藩[1] 耒啟云 张绩隆[2] 黄永安[2] 胡泽勇[2] 陈炳桓[3] 杨炯达[3] 王宜崇 徐宇伦[3] 

机构地区：[1]空军总医院放疗科,北京市100036 [2]空军总医院脑外科,北京市100036 [3]北京天坛医院

出　　处：《中国肿瘤临床》1994年第10期739-742,共4页Chinese Journal of Clinical Oncology

摘　　要：空军总医院与天坛医院合作从１９９２年１月开始，用等中心直线加速器开展立体定向放射性外科治疗。到１９９２年１１月底已治疗各类颅内疾病１２６例，其中３例为脑转移瘤。单次照射肿瘤边缘剂量为２８－３５ｃＧｙ，均收到满意近期疗效。ＣＴ检查３例转移灶于１８周内完全消失，神经系统症奖得到迅速改善，其中２例于ＳＲＳ后５个月和６个月分别死于全身转移，另１例已健康存活１３个月。From January 1992 to December 1992,126 cases of various in-tracranial disorders were treated at authors'hospital using stereotactic radiosurgery (SRS) with linear accelerator. Among them,3 cases were metastatic brain tumors. The single radiation dose in each case was 28 to 35Gy at the border of tumors. The short-term results were satisfactory. On CT scan,all lesions completely disappeared within 18 weeks after SRS. The neurologic symptoms improved rapidly in each patient. Two patients died of systemic disease 5 and 6 months after irradiation. The other one is living 13 months after treatment in good health. In conclusion,the authors emphasized the importance of SRS combined with whole brain irradiation.

关 键 词：立体定向术 放射外科 脑肿瘤 转移瘤 病例报告 

分 类 号：R739.410.5[医药卫生—肿瘤]