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采用CT引导立体定向术注射胶体~(198)Au或~(32)P治疗脑肿瘤30例,术后随访1年,其中19例(63％)临床症状改善,并经头颅CT扫描复查证实肿瘤体积缩小。无手术死亡、颅内感染及出血等严重并发症。作者认为此法操作容易,适应证较广,并发症少,效果确实;适合治疗开颅手术难以切除的肿瘤以及位于脑深部中线结构、运动区、语言区等重要功能部位的肿瘤。本方法对于囊性肿瘤及体积较小的实质性肿瘤治疗效果较好,对于体积巨大的实质性肿瘤治疗效果较差。
Thirty patients with brain tumor were treated with CT-guided stereotactic injection of colloidal ~ (198) Au or ~ (32) P, followed up for 1 year. Nineteen patients (63%) had clinical symptoms improved and confirmed by skull CT scan Volume reduced. No surgical death, intracranial infection and bleeding and other serious complications. The authors believe that this method is easy to operate, a wide range of indications, fewer complications, the effect is indeed; suitable for the treatment of craniotomy difficult to remove the tumor and located in the deep brain midline structure, motor area, language area and other important functional parts of the tumor. The method for the treatment of cystic tumors and smaller solid tumors is better, for the treatment of huge volume of substantive tumors less effective.