立体定向放射治疗脑膜瘤48例临床分析  

Analysis of SRS in 48 patients with meningioma.

作　　者：秋楠[1] 杨军[1] 缪星宇[1] 许彦钢[1] 王继军[1] 张伟[1] 

机构地区：[1]陕西省人民医院神经外科,西安710068

出　　处：《陕西肿瘤医学》2000年第3期150-151,154,共3页ShanXi Oncology Medicine

摘　　要：目的　探讨立体定向放射神经外科 (SRS)治疗脑膜瘤的疗效和方法。方法　应用 SRS治疗脑膜瘤 48例 ,并随访 6个月至 36个月。单次治疗 31例 ,分次治疗 17例。治疗前 KPS评分 87(4 0～10 0 )。结果　显效 3例 ,有效 2 5例 ,无变化 12例 ,进展 5例。 KPS评分 92 (5 5～ 10 0 )。结论　 SRS治疗脑膜瘤是一种安全有效的方法 ;分次治疗对较大病灶也有较好的疗效 ,但应掌握好肿瘤大小、部位。Objective To study the methods and effects of the treatment of meningioma by X knife.Methods 48 patients of meningioma were treated by X knife, all cases were followed up from 6 to 36 months. 31 cases were treated with whole radiotherapy, 17 cases with fraction radiotherapy. KPS scored 87(40～100) before treatment.Results Significant effect was achieved in 3 cases, improved in 25 cases, insignificant in 12 cases, derioxation in 5 cases. KPS scored 92(55～100).Conclusions The treatment of meningioma by X knife is an effective and safe method. Fraction radiotherapy revealed perfect effects. But volume, position, shape and peripheral dose should be controled.

关 键 词：X刀 放射外科 脑膜瘤 立体定向术 SRS 

分 类 号：R739.45[医药卫生—肿瘤] R730.55[医药卫生—临床医学]