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目的探讨伽玛刀治疗颈静脉球瘤的临床疗效。方法回顾性分析9例颈静脉球瘤的临床资料。肿瘤体积2.8～38.6cm3,平均13.8cm3。均采用Leksell伽玛刀治疗,边缘剂量12～15Gy,中位数15Gy,等剂量曲线40%～55%。结果所有病人均未出现新的脑神经受损症状,临床症状基本消失1例,改善4例,无变化3例,听力症状加重1例。随访时间9～72个月,平均30.3个月。肿瘤体积缩小4例,无明显变化4例,肿瘤继续进展1例。结论伽玛刀治疗能较好地控制肿瘤生长,副作用轻微,可作为较小肿瘤或不适合手术病人的首选治疗方法,同时也是术后肿瘤残留或复发的重要治疗手段。
Objective To investigate the clinical efficacy of gamma knife in the treatment of jugular neoplasms. Methods Retrospective analysis of 9 cases of jugular vein tumor clinical data. Tumor volume 2.8 ~ 38.6cm3, an average of 13.8cm3. Leksell gamma knife treatment were used, the edge dose of 12 ~ 15Gy, the median 15Gy, isodose curve 40% to 55%. Results All patients had no new symptoms of cerebral nerve damage, clinical symptoms disappeared in 1 case, improved in 4 cases, no change in 3 cases, 1 case of hearing impairment. Follow-up time was 9 to 72 months, an average of 30.3 months. Tumor size was reduced in 4 cases, no significant change in 4 cases, the tumor continued to progress in 1 case. Conclusion Gamma knife treatment can better control tumor growth with minor side effects. It can be used as the preferred treatment for small tumors or unsuitable surgical patients. It is also an important treatment for postoperative residual tumor or recurrence.