脑转移瘤X刀治疗31例临床报告  

The Clinical Report of 31 Cases with Brain Metastasis Treated by X-knife

作　　者：秋楠[1] 杨军[1] 杜艳玲[1] 张伟[1] 

机构地区：[1]陕西省人民医院神经外科,710068

出　　处：《实用放射学杂志》2000年第1期27-28,共2页Journal of Practical Radiology

摘　　要：目的：提高Ｘ刀治疗脑转移瘤的认识。方法：用Ｘ刀治疗脑转移瘤３１ 例并随访２～２４月，其中单发病灶１４例，多发病灶１７例。共７２ 个病灶。结果：脑转移瘤较小者，完全缓解率高，较大者（＞ ４ ｃｍ ）经分次治疗也有较高的缓解率。结论：单发病灶经Ｘ刀治疗后半年，１年存活率高。对多发病灶更显优越。需配合全脑放疗及化疗。否则易产生新病灶。Objective:To improve the knowledge of treating brain metastasis by X-knife.Methods:31 cases with brain metastasis were treated by X-knif and followed-up from 2 to 24 months.Among them,there were 14 cases with single lesion and 17 cases with multiple lesions.There were 72 lesions in all.Results:If the brain metastasis was smaller,the patients had excellent result.The cases with bigger brain metastasis(>4 cm)treated by multiple times also had improved.Conclusion:The cases with single lesion have higher survival rate for 6 months or one years after treated by X-knife.Multiple lesions have advantage after treated by X-knife but have to combined with whole brain radiotherapy and chemotherapy,or else created new lesion easily.

关 键 词：脑转移瘤 放射疗法 X刀 

分 类 号：R739.410.5[医药卫生—肿瘤] R730.55[医药卫生—临床医学]