摘要
自１９８８年１月至１９９６年１月采用ＣＴ引导立体定向技术对３００例颅咽管瘤进行了３８５次瘤内置入放射性核素的治疗。其中男１８０例，女１２０例，年龄３￣７４岁，平均３０．５岁，全部病例均有视路受损症状。ＣＴ或ＭＲＩ检查显示：囊性肿瘤１７５例，实体性肿瘤４０例，实体与囊腔并存８５例。无手术死亡及严重并发症。结果：术后２５０例随访６个月至８年，平均４年；肿瘤消失１８０例（７２％）。
Stereotactic intratumour irradiation with instillation of nuclide colloid was per-formed in 220 patients with craniopharyngiomas (alltonether 265 times). Of them, there are 130males, 90 fmales and their ages are ranged from 5 to 69 years old. All of them presented opticpath impaired syndroms. CT or MRI scan showed cystic tumour in 125 cases, solid and cystic in80 and solid in 15. There were no severely complication and death related to the operation. 150cases were fowlled-up from 2 monthes to 7 years (average 3. 5 years): tumour disappeared in 92cases (61. 4% ), decreased dramatically in 20 (13. 4%), decreased less than fifty per cent in 19(12. 6% ),increased in 15 (10% ) and death in 4 (2. 6% ). The operation method are introduced indetail and the questions about selection of the nuclides, calculation of dosage, prevention andtreatment of the operation complications are discussed in this paper.
出处
《海军总医院学报》
1997年第2期74-79,共6页
Journal of Naval General Hospital of PLA
