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囊性颅咽管瘤的内放射治疗
引用本文:史锡文,张佳栋.囊性颅咽管瘤的内放射治疗[J].河南医学研究,1999,8(2):140-142.
作者姓名:史锡文  张佳栋
作者单位:河南省人民医院神经外科
基金项目:河南省医学科学院科研基金
摘    要:目的:探讨囊性颅咽管瘤的最佳治疗方法。方法:30例采用立体定向穿刺囊内置管术;20例手术部分切除+囊内置管术。每人治疗2~3次,间隔时间一个月,每次按每克肿瘤组织给以015~02mCi放射剂量,平均248mCi/次。结果:手术成功率100%。平均随访35年,近期有效率100%,远期有效率90%。2例肿瘤复发需手术治疗,其余均恢复工作或学习能力。结论:颅咽管瘤系良性肿瘤,内放射治疗可收到良好的治疗效果。

关 键 词:颅咽管瘤  立体定向术  间质内放疗  囊性肿瘤

Intraradiotherapy for cystic craniopharyngioma
Shi Xiwen Zhang Jiadony Wang Bin et al.Intraradiotherapy for cystic craniopharyngioma[J].Henan Medical Research,1999,8(2):140-142.
Authors:Shi Xiwen Zhang Jiadony Wang Bin
Abstract:Objective: To find out the best treatment for cystic craniopharyngioma. Methods: 30 cases were treated with stereotaxic puncture and intracystic intubation;20 cases were treated with partial excision and intracystic intubation.Each patient was treated twice or three times at an interval of one month with the dosage of 0.150.2 mCi for 1 g tumour tissue (average 2.48 mCi/time). Results: The rate of cuccess was 100%.After 3.5year followup surveyThe recent effective rate was found 100% and the longterm effective rate was 90%.Except 2 recurrent cases which needed operation.The other 48 cases regained the ability of work and study. Conclusion: Cystic craniopharyngioma is benign tumor and intraradiotherapy could achieve a satisfactory result.
Keywords:craniopharyngioma  sterotaxic technique  interstitial radiotherapy  cystic tummor  
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