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脑胶质瘤的X刀治疗——附36例报告 被引量:1

Clinical Analysis of Brain Glioma with X-Knife Therapy(Apposition of 36 Cases)
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摘要 目的 :回顾性分析经病理证实的 36例脑胶质瘤X刀治疗后的临床及影像学变化。方法 :自1997年 3月~ 1999年 7月利用JX 10 0X刀系统常规固定头环及立体定向头架 ,CT扫描 3mm层厚 ,将影像信息输入计算机工作站进行三维重建 ,采用单次或分次治疗。全组 36例获得 6~ 30个月的随访 ,中位 18个月。结果 :34例生存期超过 6个月占 94 .4 % ,6例超过 30个月占 16 7%。 2 2例CT或MRI复查病灶明显缩小占 61 1%。 3例病灶消失占 8 3%。 3例病灶增大占 8 3%。 4例无明显变化占11 1% ;2 6例症状减轻 ,3例症状消失 ,3例症状重 ,4例死亡。结论 :X刀治疗脑胶质瘤疗效是肯定的 。 Objective:Purpose 36 cases of brain glioma who were treated with Xknife.And all the cases were firmed by pathology.The clinical and image changeswere analyzed.Materal and.Methods:From March,1997 to April 1999,JX100 Xknife system had been used,inluding routine fixed headcircle and stereoscopic orientated headframe work,CT had been used to image c\each 3 mm deep section.Then the image information was put into computer station to rebuild 3dimensional image.Single or several times therapy was adopted.All 36 cases of patient had been followed for 6 to 30 monthes.And average time was 18 months.Results:The lifetime of 34 cases were more than 6 month which are 94.4% of all cases.The lifetime of 6 cases were more than 30 months which was 16.7%.Examined again by CT or MRI,the focuses of 22 cases (61.1%) had been decreased evidently;The focuses of 3 cases (8.3%)had been disappeared;The focuses of 3 cases (8.3%) enlarged;The symptoms of 4 cases (11.1%) had no changes;The symptoms of 26 creleaases sed;The symptom of 3 cases disappeared.And the symptoms of 3 cases were disappeared.And 4 cases were died.Conclusions:It is effective that the brain glioma were treateaed with Xknife,It is suitable to be applied for treating the most kinds of brain glioma.
出处 《肿瘤防治杂志》 2000年第4期403-405,共3页 China Journal of Cancer Prevention and Treatment
关键词 X刀 三维重建 生存期 脑胶质瘤 治疗 glioma X-knife 3-dimensional images rebuild lifetime
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  • 1[2]Salcman M.Survival in glioblastoma:historical perspective [J].Neurosurgery,1980,7:435 ~439.
  • 2[4]Brahme A.Dosimetric precision requirements in radiation therapy[J].Acta Radiol Oncol,1984,23:379 ~ 391.
  • 3吴荣,甄晶,郭启勇.适形放射治疗的生物学意义[J].国外医学(肿瘤学分册),2001,28(2):127-129. 被引量:7

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