摘要
目的：探讨多发性脑转移瘤的手术适应症和治疗方法，手术治疗对生存期、生存质量的影响。方法：对41例多发性脑转移瘤进行手术切除、减压＋放疗＋化疗的综合治疗，共切除转移灶58个。结果：完全缓解6例（14．6％），部分缓解19例（46．4％），无变化6例（14．6％），进展5例（12．2％）手术及并发症死亡5例（12．2％）。术后一年生存率43．9％，二年生存率14．6％。结论：多发性脑转移瘤有较高的发生率，对经检查原发肿瘤能治愈或原发肿瘤较小，预测能生存较长时间的患者，除放射治疗和化学治疗缓解临床症状外，进行以手术切除肿瘤、减压为主的综合治疗，是延长生存期，改善生存质量的关键。
To study the operation indication and principle of treufment in multipleBrain matestatic, to explore the recationship between surgery and survival time, viabilityof Brain matastatic. Mothods: 41 patients were treated by surgery ＋ radiotherapy ＋chemotherapy. 58 focus of Brain matastatic were excised. Results: Complete comvalescence was in 6 patients (14. 6 % ), panical remissin was in 19 patients (46. 4% ), nochangewas in 6 patients (14. 6 % ),advance was in 5 patients (12. 2% ) and 5patients (12. 2 % ) diedbecause of surgery of complication. Conclusion: It suggested that complex treatmentmainly by means of decompression can improve viability and prolong survival time. Thatmultiple Brain matastatic coexist a Brain olbe, 1 or 2 focus induce main climical symptoms and focus of posterior cramal fossa compress Brain stem can lead to an excellent result bysurgical intervention.
出处
《肿瘤防治研究》
CAS
CSCD
北大核心
1998年第4期286-287,共2页
Cancer Research on Prevention and Treatment
关键词
脑肿瘤
脑转移癌
外科手术
Mltiple
Brain matastatic
surgery operation indication
