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本文报道1988年5月至1993年8月用直线加速器放射治疗的158例脑动静脉畸形(AVM)病例,并对血管畸形大小与预后作一详细分析。 全组男80例,女78例,平均年龄39岁,临床症状:出血61例,癫痫63例,偶发头痛30例,进行性神经功能障碍4例,Spetzler—Martin分级Ⅰ级11例,Ⅱ级63例,Ⅲ级65级,Ⅳ级19例。AVM等中心照射量1000～2500(Gy)病灶周边平均剂量1560Gy,其中13例用1个等中心照射,12例用2个等中心照射,1例用4个等中心照射。6例用3个等中心照射。AVM体积0.5～45.3cc,平均7.1cc。153
This article reports 158 cases of cerebral arteriovenous malformation (AVM) cases treated with linear accelerator radiation from May 1988 to August 1993 and a detailed analysis of the size and prognosis of vascular malformations. The whole group of 80 men and 78 women, mean age 39 years old, clinical symptoms: bleeding in 61 cases, 63 cases of epilepsy, occasional headache in 30 cases, progressive neurological dysfunction in 4 cases, Spetzler-Martin grade Ⅰ in 11 cases, Ⅱ grade 63 cases, Ⅲ level 65 level, Ⅳ level 19 cases. AVM and other centers of radiation dose of 1000 ~ 2500 (Gy) around the average dose of 1560Gy lesions, of which 13 cases with one isocenter, 12 cases with two isocenters, one case with four isocenters. 6 cases with three isocenters. AVM volume 0.5 ~ 45.3cc, an average of 7.1cc. 153