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目的 :回顾性分析经病理证实的 36例脑胶质瘤X刀治疗后的临床及影像学变化。方法 :自1997年 3月～ 1999年 7月利用JX 10 0X刀系统常规固定头环及立体定向头架 ,CT扫描 3mm层厚 ,将影像信息输入计算机工作站进行三维重建 ,采用单次或分次治疗。全组 36例获得 6～ 30个月的随访 ,中位 18个月。结果 :34例生存期超过 6个月占 94 .4 % ,6例超过 30个月占 16 7%。 2 2例CT或MRI复查病灶明显缩小占 61 1%。 3例病灶消失占 8 3%。 3例病灶增大占 8 3%。 4例无明显变化占11 1% ;2 6例症状减轻 ,3例症状消失 ,3例症状重 ,4例死亡。结论 :X刀治疗脑胶质瘤疗效是肯定的 ,它适合颅内各类胶质瘤的治疗
OBJECTIVE: To retrospectively analyze the clinical and radiographic changes of 36 glioma X-knife pathologically confirmed by pathology. Methods: From March 1997 to July 1999, the conventional fixed head ring and stereotactic headstock of JX10X knife system were used. The CT scan of 3mm layer thickness was performed. The image information was input to the computer workstation for 3D reconstruction. treatment. The whole group of 36 patients were followed up for 6 to 30 months, the median 18 months. Results: 34 cases survived for more than 6 months, accounting for 94.4%, 6 cases more than 30 months, accounting for 16.7%. 2 2 cases of CT or MRI review lesions significantly reduced 61 1%. 3 cases disappeared accounted for 83%. Three cases of lesions accounted for 83%. No significant changes in 4 cases accounted for 11 1%; 26 cases of symptoms reduced, 3 cases disappeared, 3 cases of symptoms, 4 died. Conclusion: X knife treatment of glioma is positive, it is suitable for the treatment of various types of gliomas