摘要
目的 探讨老年人颅内肿瘤的临床特点和治疗方法。方法 本组65岁以上老年颅内肿瘤126例,分别采用手术、X-刀和非手术治疗。结果 手术治疗65例,良性肿瘤肉眼或显微镜下全切除32例,次全切除6例,恶性肿瘤全切除8例,次全切除10例,大部切除8例。1例囊性颅咽管瘤行立体定向穿刺内放疗。X-刀治疗32例,肿瘤直径在3cm以内,行单次治疗20例;直径在5cm以内,行分次治疗12例。非手术29例。结论 老年人颅内肿瘤有其临床特点,应根据患者情况及肿瘤性质,采取不同的治疗方法。
Objective To study the clinical features and therapeutic methods of intracranial tumor in aged people. Methods One hundred and twenty six cases of patients over 65 years old with intracranial tumor were treated by operation, X-knife and non-operation, respectively. Results Sixty five patients were operated. Of benign tumors, 32 cases were totally resected with naked eye or microscope. Six cases were subtotally resected. Of malignant tumors, 8 cases were totally resected, 10 cases were subtotally resected, and 8 cases underwent partial excision. One case with craniopharyngioma was implanted with isotope by stereotactic technique. Thirty two cases were treated with X-knife. Among them, 20 cases whose tumor diameters were within 3 cm got a single dose of radiosurgery, while 12 cases whose tumor diameters were bewteen 3 and 5 cm got multiple doses. Twenty nine cases were treated with non-operative therapy. Conclusion There are clinical features in senile patients with intracranial tumor. According to the general conditions of the patients and characters of tumors, a variety of therapeutic schemes should be employed.
出处
《中华神经外科疾病研究杂志》
CAS
2002年第4期323-325,共3页
Chinese Journal of Neurosurgical Disease Research
