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X-刀治疗脑动静脉畸形
引用本文:Huang Y,Zhang J,Hu Z,Dong L,Li B,Meng Z,Fan N. X-刀治疗脑动静脉畸形[J]. 中华外科杂志, 1998, 36(5): 302-303
作者姓名:Huang Y  Zhang J  Hu Z  Dong L  Li B  Meng Z  Fan N
作者单位:空军总医院神经外科
摘    要:
目的总结X-刀治疗脑动静脉畸形的效果。方法作者应用X-刀技术治疗脑动静脉畸形(AVM)17例。其中,位于幕上者15例,幕下者2例。17例患者均为单次照射,边缘剂量15~30Gy。结果2年内AVM完全消失者13例,部分消失者3例,无变化者1例。治疗后出现放射性脑水肿2例。经保守治疗患者症状改善。结论X-刀治疗脑血管畸形有其独特的作用,它为手术和栓塞不能治疗的AVM提供了一种新的方法

关 键 词:脑动静脉畸形  立体定位技术  神经外科手术

Treatment of arteriovenous malformation by linear accelerator radiosurgery
Huang Y,Zhang J,Hu Z,Dong L,Li B,Meng Z,Fan N. Treatment of arteriovenous malformation by linear accelerator radiosurgery[J]. Chinese Journal of Surgery, 1998, 36(5): 302-303
Authors:Huang Y  Zhang J  Hu Z  Dong L  Li B  Meng Z  Fan N
Affiliation:Neurosurgery Department, Air Force General Hospital. Beijing 100036.
Abstract:
OBJECTIVE: To summarize the effectiveness of radiosurgery for cerebral arteriovenous malformations (AVMs). METHOD: We treated with linear accelerator radiosurgery 17 patients harboring AVMs in the brain. 15 AVMs were located supratentorially and others infratentorially. All the patients were treated with single fraction. The doses at AVM margin were 15 to 30 Gy. RESULT: AVMs disappeared in 13 of the 17 patients, reduced in 3 and unchanged in only 1 at 2 year follow up. Vasogenic edema observed in 2 patients, their neurologic deficits were all improved with steroid. CONCLUSION: Linear accelerator radiosurgery is effective in dealing with cerebral AVMs. It provides with a new means of treatment for AVMs which can't be effectively treated with microsurgery and embolization.
Keywords:Cerebral arteriovenous malformations Stereotaxic techniques Neurosurgery
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