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。
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.
出处
《湖南医科大学学报》
CSCD
1997年第1期63-65,共3页
Bulletin of Hunan Medical University
关键词
脑肿瘤
肿瘤转移
放射疗法
伽玛刀
brain neoplasms
neoplastic metastasis
radiosurgery
therapeutic use
