直线加速器放射外科在脑动静脉畸形多学科治疗中的作用：个人经验

The role of Linac radiosurgery in multidisciplinary management for cerebral arteriovenous malformations: personal experience.

作者信息

Pelissou-Guyotat I, Deruty R, Morel C

机构信息

Service de Neurochirurgie, Hôpital Neurologique, Lyon, France.

出版信息

Stereotact Funct Neurosurg. 1997;69(1-4 Pt 2):147-51. doi: 10.1159/000099867.

DOI:10.1159/000099867

PMID:9711748

Abstract

The authors analyze their personal series of 90 patients with cerebral arteriovenous malformations (AVMs) concerning the place of radiosurgery (RS). Out of the 90 patients, 34 undervent Linac RS-RS was used as single treatment (17%) or in combination with embolization or surgery (21%.) Eradication rate assessed angiographically after 2 years was 89%. Regarding this personal series and the recent literature, several questions remain: should small superficial AVMs revealed by hemorrhage be irradiated or operated on and the role of embolization as a reductive method before RS in order to reduce the complications and improve the obliteration rates.

摘要

作者分析了他们个人收集的90例脑动静脉畸形（AVM）患者接受放射外科治疗（RS）的情况。在这90例患者中，34例接受了直线加速器放射外科治疗——放射外科治疗作为单一治疗手段（17%）或与栓塞或手术联合使用（21%）。2年后血管造影评估的根除率为89%。关于这个个人病例系列和近期文献，仍存在几个问题：因出血而发现的小型浅表动静脉畸形是应接受放射治疗还是手术治疗，以及栓塞作为放射外科治疗前的一种减少病变的方法，在降低并发症和提高闭塞率方面的作用。