【摘要】 目的探索伽玛刀治疗松果体区肿瘤的具体方法,进一步提高其疗效。方法使用伽玛刀治疗松果体区肿瘤42例,肿瘤边缘剂量10～15Gy,平均14.1Gy;中心剂量24～37.5Gy,平均30.2Gy。随访4个月～3年。结果肿瘤消失19例,明显缩小13例,缩小7例,肿瘤不变3例,均无特殊并发症。结论伽玛刀是治疗松果体区肿瘤的一种安全有效的方法,对有明显梗阻性脑积水者,可先行脑脊液分流术再行伽玛刀治疗。更多还原

【Abstract】 Objective To evaluate the efficacy of Gamma knife radiosurgery in the management of patients with pineal region tumors. Methods 42 cases of pineal region tumors were treated with Gamma knife radiosurgery. The margin dose was14.1 Gy(range 10-15 Gy). The center dose was 30.2Gy (range 24-37.5Gy). All cases were followed up 4 months to 3 years after radiosurgery. Results Tumor disappeared in 19 cases, obviously reduced in 13 cases, reduced in 7 cases, no change in 3 cases. There were no special complications. Conclusion Gamma knife radiosurgery is a safe and effective method for the treatment of pineal region tumors. A V-P shunt should be considered before radiosurgery for patients with sever hydrocephalus.更多还原