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目的探讨囊性颅咽管瘤的最佳治疗方法。方法对30例囊性颅咽管瘤患者行CT立体定向Ommaya管置入术结合~(32)P内放疗治疗。其中男性19例,女性11例,平均32岁。CT或MRI显示均为单个囊性病变。结果全部病例临床症状持续改善,无手术死亡及严重并发症。随访16～56个月,26例囊腔明显缩小,4例囊腔缩小。无手术死亡及严重并发症。结论 Ommaya管置入结合~(32)P内放疗治疗颅咽管瘤安全有效,本方法应作为治疗囊性颅咽管瘤的首选方法。
Objective To investigate the best treatment for cystic craniopharyngioma. Methods Thirty patients with cystic craniopharyngioma underwent CT stereotactic Ommaya tube implantation combined with ~ (32) P radiotherapy. Including 19 males and 11 females, average 32 years old. CT or MRI showed a single cystic lesions. Results The clinical symptoms of all cases continued to improve, without surgical death and serious complications. Follow-up of 16 to 56 months, 26 cases of cystic cavity was significantly reduced, 4 cases of cystic cavity narrowed. No operative deaths and serious complications. Conclusion Ommaya tube placed in combination with ~ (32) P radiotherapy for the treatment of craniopharyngioma safe and effective, this method should be used as the preferred method of treatment of cystic craniopharyngioma.