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儿童髓内星形细胞瘤治疗现状
引用本文:韩波,王贵怀. 儿童髓内星形细胞瘤治疗现状[J]. 中国神经肿瘤杂志, 2007, 5(4): 229-231
作者姓名:韩波  王贵怀
作者单位:北京天坛医院神经外科 北京100050
摘    要:儿童脊髓星形细胞瘤的治疗依然为挑战性难题。有明确边界的髓内星形细胞瘤可以获得手术近全切除或大部分切除,预后良好;低级别弥散型的脊髓星形细胞瘤手术以活检明确诊断并为放化疗提供基础为主要目的;间变型或恶性星形细胞瘤星形细胞瘤患者,手术辅以放化疗为治疗选择,预后不佳。本文通过分析作者近年来治疗的儿童脊髓星形细胞瘤患者,再结合文献,谈一些目前国内外儿童脊髓星形细胞瘤的治疗现状以及体会。

关 键 词:儿童脊髓肿瘤  髓内星形细胞瘤  显微外科手术

The Current Management of Pediatric Intramedullary Astrocytomas
Bo Han,Gui-huai Wang. The Current Management of Pediatric Intramedullary Astrocytomas[J]. Chinese Journal of Neuro-Oncology, 2007, 5(4): 229-231
Authors:Bo Han  Gui-huai Wang
Affiliation:Bo Han,Gui-huai Wang Department of Neurosurgery,Beijing Tiantan Hospital,Beijing 100050,P.R.China
Abstract:Treatment for pediatric patients with spinal cord astrocytomas is still challenge.Localized intramedullary astrocytomas which could be removed totally,could have better prognosis.The surgery for diffused intramedullary astrocytomas should be considered mainly biopsy followed by adjuvant radiotheraphy and chemotherapy.Anaplastic intramedullary astrocytomas usually have unsatisfactory results even with surgery and radiotheraphy as well as chemotherapy.This article,based on our experience and literature review,the rule on management of pediatric spinal cord astrocytomas will be discussed.
Keywords:Intramedullary astrocytoma  Microneurosurgery  Pediatric spinal cord tumor
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