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本文报告应用γ-刀治疗48例经手术治疗、术后放疗和(或)化疗后复发的胶质瘤。其中男30例、女18例,年龄平均38岁(7~74)岁。肿瘤最大直径11.3~69.8 mm,平均35mm。最大中心照射剂量22~55Gy,平均32Gy。肿瘤周边剂量11~20Gy,平均15Gy.照射的等中心点数1~15个,平均7个。随访40例,随访率83.3%,随访时间9~22个月,平均14个月。至最后一次随访时,死亡16例,3例症状好转,9例病情无加重。40例的存活时间;2~22个月,平均10.9个月。肿瘤直径小治疗效果好,而肿瘤直径大疗效不佳。
This article reports the use of γ-knife treatment of 48 cases of surgical treatment, postoperative radiotherapy and / or recurrent glioma after chemotherapy. There were 30 males and 18 females, the average age of 38 years (7 ~ 74) years old. The maximum tumor diameter 11.3 ~ 69.8 mm, an average of 35mm. The largest center dose of 22 ~ 55Gy, with an average of 32Gy. The tumor peripheral dose of 11 ~ 20Gy, an average of 15Gy. Irradiation center points 1 to 15, an average of seven. Follow-up 40 cases, follow-up rate was 83.3%, followed up for 9 to 22 months, an average of 14 months. To the last follow-up, 16 patients died, 3 patients improved symptoms, and 9 patients did not aggravate. 40 cases of survival time; 2 to 22 months, an average of 10.9 months. Small tumor diameter treatment effect, and poor tumor diameter large effect.