伽玛刀治疗海绵窦海绵状血管瘤疗效观察  

Observation of therapeutic effects on gamma knife radio surgery for cavernous haemangioma of the cavernous sinus

作　　者：金香顺 殷浩[2] 张广超 

机构地区：[1]吉化集团公司总医院放射治疗科,吉林吉林132022 [2]吉化集团公司总医院神经外科,吉林吉林132022 [3]吉化集团公司总医院伽玛刀治疗研究中心,吉林吉林132022

出　　处：《中国医药导报》2012年第5期87-88,共2页China Medical Herald

摘　　要：目的探讨伽玛刀在海绵窦海绵状血管瘤治疗中的效果。方法对12例MRI诊断海绵窦海绵状血管瘤应用Leksell伽玛刀进行治疗。肿瘤最大直径24～40 mm,平均31 mm。肿瘤周边剂量9～14 Gy,平均12.2 Gy。肿瘤中心剂量18～28 Gy,平均24.8 Gy。结果本组病例随访时间6～40个月,未发现与伽玛刀有关严重并发症。肿瘤消失1例,缩小8例,2例体积变化不明显,增大1例。增大1例手术治疗,切除肿瘤时出血明显减少。结论伽玛刀治疗中小型海绵窦海绵状血管瘤是一种安全、有效的方法。Objective To study the effectiveness of gamma knife surgery in the treatment of cavernous haemangiomas of cavernous sinus（CHCS）.Methods 12 patients with CHCS were treated by Leksell gamma knife who had been diagnosed by MRI.The maximum diameter of these lesions was 31 mm（24-40 mm）.The tumor margin dose ranged from 9 to 14 Gy,mean 12.2 Gy.The tumor central dose ranged from 18 Gy to 28 Gy,mean 24.8 Gy.Results The radiological follow-up period was 6 to 40 months.No serious bleeding was found with gamma knife surgery.1 patient showed disappearance of tumor,8 patients showed shrunk,2 patients showed no change,1 patient showed enlargement.1 patient with enlarging was operated after gamma knife surgery.No serious bleeding was found during operation in this reopened patient.Conclusion Gamma knife surgery is effective and safe for cavernous haemangiomas of the cavernous sinus.

关 键 词：海绵窦 海绵状血管瘤 伽玛刀 

分 类 号：R732.2[医药卫生—肿瘤]