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胶质瘤是脑瘤中最常见的类型。据国内12单位22,457例颅内肿瘤统计,胶质瘤居首位,占43.85％,且半数以上为恶性者。但其疗效尤其是恶性胶质瘤的疗效一直是神经外科领域里亟待解决的重要课题。据美国脑瘤协作研究组统计恶性胶质瘤单纯手术治疗的平均生存期仅17周,手术合并放疗可延长至37.5周,若手术、放疗、化疗三者并用则可达51周。因此,目前一致认为对胶质瘤必须采用综合治疗。近年,由于许多学者致力于胶质瘤治疗方面的研究,改进并开拓了一些新的治疗方法,现分别摘要如下:一、手术治疗手术治疗目的在于明确病理诊断,改善症状,减轻肿瘤负荷,清除坏死及缺氧组织,为其他辅助治疗创造条件。目前都主张对胶质瘤要加强切除。至少有部分恶性胶质瘤较局限,可肉眼完全切
Gliomas are the most common type of brain tumor. According to the statistics of 22,457 intracranial tumors in 12 units in China, gliomas occupy the first place, accounting for 43.85%, and more than half are malignant. However, its efficacy, especially the efficacy of malignant gliomas, has always been an important issue to be solved in the field of neurosurgery. According to the American Collaborative Team on Brain Tumors, the average survival time for simple surgical treatment of malignant gliomas is only 17 weeks. Surgery combined with radiotherapy can be extended to 37.5 weeks. If surgery, radiotherapy, and chemotherapy are used together, it can reach 51 weeks. Therefore, it is currently agreed that comprehensive treatment must be applied to gliomas. In recent years, many scholars have devoted themselves to the study of glioma treatment, and have improved and developed new treatments. They are summarized as follows: 1. Surgical treatment Surgical treatment aims to clarify pathological diagnosis, improve symptoms, reduce tumor burden, and eliminate Necrosis and hypoxia tissue create conditions for other adjuvant therapies. At present, it is advocated that gliomas should be removed. At least some of the malignant gliomas are more limited and can be fully cut by the naked eye