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不同立体定向放射外科技术在颅内病变治疗中的应用
引用本文:欧阳斌,王振宇,文碧秀.不同立体定向放射外科技术在颅内病变治疗中的应用[J].中国医药导报,2014(28):161-165.
作者姓名:欧阳斌  王振宇  文碧秀
作者单位:中山大学附属第一医院放射治疗科
基金项目:国家自然科学基金资助项目(编号81172209);广东省自然科学基金项目(编号S2011020003612)
摘    要:ν刀和X刀是应用最广泛的两种立体定向放射外科技术,两者的治疗精度相同,剂量分布的适形性一致、均匀性X刀优于Y刀,对于复杂靶区X刀治疗效率更高。通过分析比较两种技术在听神经瘤、脑膜瘤、脑转移瘤、脑动静脉畸形、垂体腺瘤和三叉神经痛等病变中的治疗效果,表明两种技术在病变控制率、正常组织损伤率等方面无差别;ν刀治疗的临床应用经验更丰富,X刀的治疗方式则更多样化,适用范围更广。

关 键 词:立体定向放射外科  ν刀  X刀  颅内病变

Application of different stereotactic radiosurgery techniques in the treatment of intracranial lesions
OUYANG Bin;WANG Zhenyu;WEN Bixiu.Application of different stereotactic radiosurgery techniques in the treatment of intracranial lesions[J].China Medical Herald,2014(28):161-165.
Authors:OUYANG Bin;WANG Zhenyu;WEN Bixiu
Institution:OUYANG Bin;WANG Zhenyu;WEN Bixiu;Department of Radiation Oncology, the First Affiliated Hospital of Sun Yat -sen University;
Abstract:νknife and Linac radiosurgery are the most widely used stereotactic radiosurgery (SRS) modalities with similar accuracy and dose conformality, Linac radiosurgery is better in dose heterogeneity and more efficient for complex target. There is no significant difference between the two techniques in terms of disease control rate and complications in acoustic neuroma, meningioma, brain metastases, arteriovenous malformations, pituitary adenomas and trigeminal neuralgia. ν knife is widely used with diverse clinical experience, whereas linac radiosurgery with more diverse treatment patterns and wider scope.
Keywords:Stereotactic radiosurgery  ~ knife  Linac radiosurgery  Intracrania! lesions
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