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对1993年11月～1997年8月本院治疗的42例颅咽管瘤进行回顾性研究.42例均为囊性-实质性肿瘤,平均直径为32mm,平均体积为12688mm~3,采用伽玛刀治疗肿瘤的实质部分,平均中心剂量26Gy,周边剂量为13Gy,囊性部分行~32P内放射治疗,平均~32P量为 0.944mci.对早期治疗的16例病人进行随访,平均时间为31个月.术后短期观察无放射和手术相关的并发症,随访结果显示:88%的肿瘤有不同程度的缩小.症状改善61%,症状不变为37%,但视力和视野恢复不明显,另外1例于注射~32P胶体3个月后出现动眼神经损害.伽玛刀结合~32P治疗颅咽管瘤是一种安全有效.创伤较小的治疗方法,有临床使用价值.
42 cases of craniopharyngioma treated in our hospital from November 1993 to August 1997 were retrospectively studied, of which 42 cases were cystic-solid tumors with an average diameter of 32 mm and an average volume of 12688 mm 3. The average tumor dose was 26Gy with a peripheral dose of 13Gy, and the cystic part was treated with ~ 32P radiation, with an average of ~ 32P amount of 0.944mci. The early treatment of 16 patients were followed up for an average of 31 Months.Postoperative short-term observation of non-radiation and surgery-related complications, follow-up results showed that: 88% of the tumors were reduced to varying degrees.While the symptoms improved 61%, the symptoms remain unchanged at 37%, but visual acuity and visual field recovery was not obvious, Another case of injection of ~ 32P colloid after 3 months of oculomotor nerve damage.Gamma knife combined with ~ 32P for the treatment of craniopharyngioma is a safe and effective. Trauma treatment methods, the clinical value.