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[放射外科]

[Radiosurgery].

作者信息

Philippon J, Cornu P, Mazeron J J

机构信息

Service de Neurochirurgie, Hôpital de la Salpêtrière, Paris.

出版信息

Rev Neurol (Paris). 1997 May;153(4):235-8.

PMID:9296140
Abstract

Radiosurgery refers to the possibility of the destruction of a small area in the brain with a high dose of radiation, after determination of the target with stereotactic coordinates. Arteriovenous malformations of small size not treatable by direct surgery are obliterated by radiosurgery in nearly 80 p. 100 of the cases. Cerebral metastasis are also effectively treated with a good local control, especially in case of small solitary lesion. In acoustic tumor, of small and medium size, radiosurgery appears to be an alternative to surgery. Other benign tumors (meningioma, pituitary adenoma) have also been treated, but long-term studies are still necessary to evaluate the efficacy of this technic.

摘要

放射外科是指在通过立体定向坐标确定靶点后,利用高剂量辐射破坏脑内小区域的可能性。无法通过直接手术治疗的小尺寸动静脉畸形,在近80%的病例中可通过放射外科消除。脑转移瘤也能得到有效治疗,局部控制良好,尤其是对于小的孤立性病变。对于中小型听神经瘤,放射外科似乎可替代手术。其他良性肿瘤(脑膜瘤、垂体腺瘤)也已接受治疗,但仍需要长期研究来评估该技术的疗效。

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