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目的了解当前脑胶质瘤临床治疗研究的现状。方法重点回顾近年脑胶质瘤治疗研究文献。结果积极的手术治疗和正确的非手术辅助治疗(放射治疗与化学药物治疗)仍是当前临床治疗的主流手段,尤其手术影象技术的完善有助于进一步提高手术质量,不断改进放疗和化疗方法,如手术微型立体定向放射外科治疗技术,选择性血脑屏障开放化疗技术等新技术正在研究中;生物技术有可能成为脑瘤治疗中的重要辅助手段。结论提高脑胶质瘤临床治疗效果需要系统综合治疗研究,加强该领域的系统研究包括循证医学的研究很有必要。
Objective To understand the current situation of clinical treatment of glioma. Methods The review focused on the literature of treatment of glioma in recent years. Results Positive surgical treatment and proper non-surgical adjuvant therapy (radiotherapy and chemical drug treatment) are still the main current clinical treatment methods. In particular, the improvement of the surgical imaging technique can help to further improve the quality of operation and continuously improve radiotherapy and chemotherapy New technologies such as micro-stereotactic radiosurgery and selective blood-brain barrier chemotherapy are under study. Biotechnology may become an important adjunct to brain tumor therapy. Conclusions To improve the clinical therapeutic effect of glioma requires systematic comprehensive treatment research. It is necessary to strengthen systematic research in this field including evidence-based medicine.