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立体定向内放疗联合γ-刀治疗复发性颅咽管瘤 总被引:1,自引:0,他引:1
目的评价立体定向穿刺引流加内放疗结合γ-刀治疗复发性颅咽管瘤的有效性和安全性。方法回顾性分析26例手术后复发性囊实性颅咽管瘤的治疗经验。对16例肿瘤实体部分靠近视神经、视交又及视束者,先行立体定向穿刺抽吸加核素内放疗,再行γ-刀治疗;对10例肿瘤囊性部分靠近视神经、视交又及视束者,先行γ-刀治疗,再行穿刺抽吸加核素内放疗。结果随访6~42个月,平均24.5个月;临床症状和体征消失10例,改善13例,无变化2例,加重1例。影像学检查结果显示病变消失4例,缩小17例,无变化3例。增大2例;有效控制率为92.3%。结论对复发性囊实性颅咽管瘤联合应用立体定向穿刺抽吸引流、^32P内放疗及γ-刀等治疗手段,具有并发症少,复发率及病死率低等优点。 相似文献
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故障现象 正常开机后 ,当计算机自检结束并进入球管老化状态时 ,按“Start”键 (此时扫描条件为 :5 0mA ,80kV) ,球管不曝光 ,老化程序不能继续进行。EL显示 :H .V .ERROR。跳过老化和空气较准程序使计算机进入“Ready”状态后 ,选择自由扫描程序 (扫描条件 :5 0mA ,12 0kV) ,按“Start”键后 ,仍不能进行扫描 ,此时EL显示 :H .V .ERROR 10 .。此故障出现之前 ,在扫描过程中球管经常发生放电现象。故障分析及检修 根据上述故障现象和EL提示分析 ,故障应属于高压系统 ,与计算机控制系统无关。… 相似文献
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目的 了解理性情绪疗法治疗焦虑神经症患者的效果.方法 方便取样调查30例焦虑神经症患者把理性情绪疗法作为一种定式的、短期的、针对焦虑神经症患者提供的心理治疗.结果 治疗12周后,26例焦虑神经症患者中痊愈15例(57.7%),显著进步6例(23.1%),进步4例(15.4%),无效1例(3.8%).显效率(痊愈+显著进步)为80.8%,有效率(痊愈+显著进步+进步)为96.2%.HAMA在治疗前后有统计学意义(P<0.01).结论 理性情绪疗法治疗焦虑神经症,能显著改善患者的焦虑抑郁症状及认知功能,减轻患者的痛苦. 相似文献
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Objective To study the effect of rational-emotive therapy (RET) on the patients with anxiety disorder. Methods Thirty patients with anxiety disorder were treated with RET, as a formulary, shortdated and aimly treatment. Results After 12 weeks, among 26 patients who were treated with RET, 15 case (57.7%) were full recovery, 6 case (23. 1% ) were significant improvement, 4 case (15.4%) were improvement and 1 case (3.8%) was no effective. The validity rate was 80.8%, and the apparent rate was 96.2%. The different of scale of HAMA between before and after treatment was significant (P<0.01 ) .Conclusions The RET can improve the cognitire of patients with anxiety disorder, and decrease the anxiety, depression and suffering. 相似文献
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目的 探讨正电子发射断层扫描(PET)对脑软化灶伴有难治性癫痫的定位价值和1-刀治疗的效果。方法 对18例脑软化灶伴有难治性癫痫的患者进行PET检查,根据PET检查结果并结合MRI、CT、视频脑电图、VEEG及临床表现确定放射治疗靶区。结果 14例致痫灶位于脑软化病灶周围的皮层组织.4例致痫灶不仅位于脑软化病灶周围,还位于其他脑叶或远隔部位。18例经γ-刀治疗后随访12-48个月,平均16个月,满意8例,显著改善5例,良好3例,无效2例,有效率88.9%(16/18)。均未见新的并发症发生。结论对脑软化灶伴有难治性癫痫发作患者行PET检查定位致痫灶,有助于选择γ-刀治疗方案,提高γ-刀治疗效果。 相似文献
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Objective To study the effect of rational-emotive therapy (RET) on the patients with anxiety disorder. Methods Thirty patients with anxiety disorder were treated with RET, as a formulary, shortdated and aimly treatment. Results After 12 weeks, among 26 patients who were treated with RET, 15 case (57.7%) were full recovery, 6 case (23. 1% ) were significant improvement, 4 case (15.4%) were improvement and 1 case (3.8%) was no effective. The validity rate was 80.8%, and the apparent rate was 96.2%. The different of scale of HAMA between before and after treatment was significant (P<0.01 ) .Conclusions The RET can improve the cognitire of patients with anxiety disorder, and decrease the anxiety, depression and suffering. 相似文献
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目的探讨认知行为综合干预疗法对精神分裂症患者阴性症状的康复效果。方法对60例精神分裂症患者(观察组)进行为期2个月的心理干预和行为矫治,采用住院精神病人康复疗效评定量表(IPROS)、自制的约束不良言行标准、阴性症状评定量表(SANS)综合评价精神分裂症患者阴性症状的治疗效果。并与60例精神分裂症患者(对照组)进行比较。结果治疗结束后,观察组IPROS、SANS各因子分减分值均明显高于对照组(P〈0.01)。结论认知行为综合干预能矫治能够改善精神分裂症患者的阴性症状,促进自知力的恢复。 相似文献
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