颅内疾病X-刀立体定向放射神经外科治疗510例  

Linac X-knife stereotactic radioneurosurgery: 510 cases reported

作　　者：王立根[1] 郭艳[2] 章翔[1] 

机构地区：[1]第四军医大学西京医院全军神经外科研究所,陕西西安710033 [2]第四军医大学西京医院放射治疗科,陕西西安710033

出　　处：《第四军医大学学报》2000年第9期1121-1123,共3页Journal of the Fourth Military Medical University

摘　　要：目的　分析 X-刀立体定向放射神经外科治疗颅内疾病的疗效 .方法　用 CT薄层连续扫描图像定位 ,采用 BRW立体定向坐标系统 ,Radionics RSA- 3型 X-刀治疗计划系统 ,Philips SL - 75 - 14医用电子直线加速器 ,对 5 10例颅内疾病患者实施 X-刀治疗 .结果　平均随访时间为 15 (3～ 36 ) mo,其中多数病例在治疗后 1～ 6 mo出现明显的症状改善和影像学检查显示病灶缩小或消失等改变 .结论　合理选择适应症 ,采用 X-刀立体定向放射神经外科技术治疗颅内疾病 ,是一种安全。AIM To ascertain the effectiveness of X knife stereotactic radioneurosurgery on intracranial lesions. METHODS Within a three year period, 510 cases of X knife treatment were taken, using the standard axial serial CT scan for stereotactic localization. The target was localized by the BRW coordinate system, Radionics RSA 3 X knife treatment planning system was adopted to make plan, and Philips SL 75 14 Linac was used to produce X ray. RESULTS After treatment, follow up ranged 3~36 mo (mean 15 mo), during which most of the patients showed improvements within 1~6 mo. CONCLUSION It has been proved that, if the indications were strictly controlled, the X knife treatment for intracranial lesions might be an effective, economical and reliable methods.

关 键 词：颅内肿瘤 X-刀 立体定向放射神经外科 

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