11例血管母细胞瘤的伽玛刀治疗

• 作 者: 侯永宏
• 出 处: 国外医学.神经病学神经外科学分册
• 发表日期: 1997年02期
• 关键词: 血管母细胞瘤 伽玛刀治疗 显微外科技术 放射外科 中枢神经系统 实质部分 肿瘤体积 边缘剂量 上段 抗利尿激素

血管母细胞瘤是中枢神经系统中富含血管,边界清楚的实质性或囊性的良性肿瘤,好单发于小脑、脑干或上段颈髓。标准的治疗方法是采用显微外科技术将其全切或先行栓塞减少血运后再行切除。但由于有20％的病人合并有Von Hippel—Lindan综合症(VHL),因此常规显微手术在治疗这种多发性的血管母细胞瘤时常常失败,肿病易于复发或再发。而此类肿瘤体积小,边界清而富于血管,伴VHL时常为多发,因此是放射外科治疗的理想靶灶。作者自1978年～1994年采用伽玛刀治疗了10例血管母细胞瘤的患者,平均年龄48岁,男

Hemangioblastoma is a benign or cystic benign tumor that is rich in blood vessels in the central nervous system and has a clear border. It is good for cerebellum, brain stem or superior cervical cord. The standard treatment is the use of microsurgical techniques to cut or embolization first reduce blood supply and then resection. However, conventional microsurgery often fails in the treatment of this multiple hemangioblastoma because 20% of patients have Von Hippel-Lindan syndrome (VHL), and the disease tends to recur or recur. However, such tumors are small, clear and rich in blood vessels, often accompanied by multiple VHL, it is the ideal target for radiation surgery. The author from 1978 to 1994 with gamma knife treatment of 10 patients with hemangioblastoma patients, mean age 48 years, male