脑转移瘤是常见颅内肿瘤,发生率为20％～30％,半数为单发病灶。患者出现神经系统症状急且很快致残以致死亡。如不治疗,生存期只有1个月左右。应用皮质类固醇如地塞米松治疗,生存期可延长一倍。如行全脑放疗,生存期3～6个月。脑转移瘤患者手术治疗与单一接受化疗相比是否对预后有利尚无定论。作者对1997～2000年间经手术治疗的26例脑转移瘤病例进行了回顾性分析。 Brain metastases are common intracranial tumors, the incidence of 20% to 30%, half of single lesions. Patients with nervous system symptoms and rapid disability caused death. If not treated, the survival period is only about 1 month. Corticosteroids such as dexamethasone treatment, the survival can be doubled. If the line whole brain radiotherapy, survival of 3 to 6 months. Surgical treatment of patients with brain metastases is not conclusive whether prognosis is better than single chemotherapy. The authors retrospectively reviewed 26 patients with brain metastases who underwent surgery between 1997 and 2000.