期刊文献+

垂体腺瘤的立体定向放射外科治疗研究进展 被引量:2

原文传递
导出
摘要 立体定向放射外科是垂体腺瘤的重要治疗方法之一,本治疗尚无明确的禁忌症;治疗方式要求精确包绕肿瘤组织;对于不同的垂体腺瘤要采用不同的剂量标准,如果控制肿瘤的生长,一般使用10-15Gy的周边剂量;如果控制激素的分泌,一般使用25-35Gy的周边剂量。不同的肿瘤采用的周边剂量范围也不相同,GH腺瘤一般采用25-30Gy,PRL腺瘤一般采用16-35Gy,ACTH腺瘤主张采用35Gy;最新的研究表明视通路的安全剂量10-12Gy之间;对激素分泌的控制在83%以上,对肿瘤生长的控制在91%以上。
出处 《国外医学(神经病学.神经外科学分册)》 2004年第1期15-19,共5页 Foreign Medical Sciences(Section On Neurology & Neurosurgery)
  • 相关文献

参考文献24

  • 1Motti ED, Losa M, Pieralli S , et al. Stereotactic radiosurgery of pituitary adenomas. Metabolism, 1996 , 45(8 Suppl 1) : 111 - 114.
  • 2Michihide M, Dennis C, Eben A, et al. Initial clinical results of linae-based stereoactic radiosurgery and stereotactic radiotherapy for pituitary adenomas. Int. J. Radiation Oncology Biol, Plays, 1998, 42 ( 3 ) : 573 -580.
  • 3Jackson IM; Noren G. Role of gamma knif e therapy in the management of pituitary tumors. Endocrinol Metab Clin North Am, 1999, 28(1):133 - 142.
  • 4Nataf F, Merienne L, Devaux B, et al. The place of radiosurgery in the treatment of hypophyseal adenoma. Neurochirurgie, 1998 , 44(5) : 339- 343.
  • 5John M. Buatti, Francis J. Bova, William A. Friedman, et al. Preliminary experience with frameless stereotactic radiotherapy, Int . J. Radiation Oneology Biol. Phys, 1998,42(3) :591 - 599.
  • 6Scott L, Bruce E, Jaequelien A, et al. A study on the radiation tolerance of the optic nerves and chiasm after stereotactic radiosurgery. Int. J.Radiation Ontology Biol. Phys, 2003 ; 55(5) : 1177 - 1181.
  • 7McCord MW, Buatti JM, Fennell EM, et al. Radiotherapy for pituitary adenoma: Long- term outcome and sequelae Int J Radiat Oncol Biol Phys, 1997,39(2) :437 - 444.
  • 8Mokry M, Ramsehak SS, Simbrunner J, et al. A six year experience with the postoperative radiosurgical management of pituitary adenomas.Stereotact Funet Neurosurg, 1999, 72 Suppl 1 : 88 - 100.
  • 9Kim MS, Lee SI, Sim JH. Gamma Knife radiosurgery for functioning pituitary microadenoma. Stereotact Funct Neurosurg, 1999, 72 Suppl 1 :119 - 124.
  • 10Hayashi M, lzawa M, Hiyama H , et al. Gamma Knife radiosurgery for pituitary adenomas. Stereotact Funct Neurosurg, 1999, 72 Suppl 1:111- 118.

同被引文献13

  • 1鲍伟民,秦智勇,周良辅,潘力,王滨江.伽玛刀治疗生长激素垂体腺瘤14例报告[J].中国神经精神疾病杂志,1996,22(6):366-367. 被引量:8
  • 2Motti ED,Losa M,Pieralli S,et al.Stereotactic radiosurgery of pituitary adenomas[J].Metabolism,1996,45(8 suppl 1):111-114.
  • 3Mark J,Malik J,Fendrgch P.Initial experience of an endocrinologist with the treatment of hypophyseal adenoma with the Leksell gamma knife[J].Cas Lek Cesk,1995,134(17):543.
  • 4Ganz JC,Backlund EO,Thorsen FA.The effects of gamma knife surgery of pituitary adenomas on tumor growth and endocrino-pathies[J].Stereotact Funct Neurosurg,1993,61(suppl 1):30.
  • 5Shin M.Gamma knife radiosurgery for pituitary adenoma[J].Biomed Pharmacother,2002,56(suppl 1):178s-181s.
  • 6杨树源.经蝶窦显微外科手术治疗垂体腺瘤的长期疗效观察[J].中华神经外科杂志,2008,2(12):72-73.
  • 7将为众.育龄女性垂体泌乳素微腺瘤手术的后内分泌改变及疗效分析[J].生殖与避孕,2008(4):34-36.
  • 8苏长保,任祖渊.王维钧.等.200例垂体GH腺瘤经蝶手术疗效观察[J].中国医学科学院学报,2009.17(2):334-335.
  • 9张建宁.垂体瘤术后复发的观察及棚关因素分析[J].国外医学.中经病学神经外科分册.2008,15(6):306-307.
  • 10徐僻生,任祖渊,苏长保.等.经蝶垂体腺瘤切除术后尿崩症的临床研究[J].中华神经外科杂志,2010.11:222-224.

引证文献2

二级引证文献19

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部