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脑转移瘤的伽玛刀治疗
引用本文:马志明,候永宏,刘运生,仇斌,唐建兵.脑转移瘤的伽玛刀治疗[J].中南大学学报(医学版),1997(1).
作者姓名:马志明  候永宏  刘运生  仇斌  唐建兵
作者单位:Gamma Knife Treatment and Research Center,Xiangya Hospital,Hunan Medical University,Changsha 410008
摘    要:经伽玛刀治疗的21例脑转移瘤病人共46个病灶,其中17例共29个病灶得到了MRI或CT复查随访,随访时间2~10个月,另4例于治疗后1月内死亡,治疗后局部控制率为93%。KPS稳定者3/21,改善者12/21,6例KPS下降。本文就伽玛刀治疗脑转移瘤的适应症、剂量计划及疗效进行了分析。

关 键 词:脑肿瘤  肿瘤转移  放射外科  治疗应用

GAMMA KNIFE TREATMENT OF BRAIN METASTATIC TUMORS
Ma Zhiming,Hou Yonghong,Liu Yunsheng.GAMMA KNIFE TREATMENT OF BRAIN METASTATIC TUMORS[J].Journal of Central South University (Medical Sciences)Journal of Central South University (Medical Sciences),1997(1).
Authors:Ma Zhiming  Hou Yonghong  Liu Yunsheng
Abstract:Twenty one cases of brain metastases including 46 tumors treated with Gamma knife (GK) from Sep. 1995 to July 1996 were reported. Among them, 4 patients died within one month, 17 patients with 29 tumor masses were followed up by MRI or CT. The rate of local control was 93%. The total mortality was 19%. The GK treatment associated mortality was 4.7%. Karnofsky Performance Status (KPS) stabilized in 3 cases, improved in 12 cases, regressed in 2 cases. One patients was operated due to the increase of the tumor volume. Four patients were treated with GK again due to the new lesions. The indications of GK treatment of the brain metastases, dose planning, and efficacy were discussed in brief.
Keywords:brain neoplasms  neoplastic metastasis  radiosurgery  therapeutic use
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