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目的目的分析颅内转移癌临床病理特点与治疗方法,为颅内转移病灶的的诊治提供依据。方法病理组织学确诊为颅内转移癌患者96例,对所有病例病理类型、症状特点、影像学表现和治疗方法进行研究,同时复习相关文献。结果颅内转移癌好发于中老年患者,主要来源于呼吸、消化系统病变,颅内转移部位幕上多见,临床多因间歇性头痛头晕引起医生注意,但误诊率高,单纯手术或放疗疗效较差。结论早期正确诊治颅内转移癌,可以降低病死率和致残率,颅内转移癌病灶单一应首选手术切除,根据患者耐受情况选择联合放化疗,积极做好患者综合治疗后护理,防治并发症,维持重要脏器功能。
Objective To analyze the clinicopathological characteristics and treatment of intracranial metastatic carcinoma and provide evidence for the diagnosis and treatment of intracranial metastases. Methods Ninety-six patients with intracranial metastatic carcinoma were identified by histopathology. The pathological types, symptom characteristics, imaging findings and treatment methods were studied in all cases, and the related literatures were reviewed. Results Intracranial metastasis occurred in middle-aged and elderly patients, mainly from respiratory and digestive diseases, more common in the supratentorial intracranial metastatic site, the clinical symptoms of intermittent headache and dizziness caused by doctors, but the misdiagnosis rate, surgery alone or radiotherapy Less effective. Conclusion Early diagnosis and treatment of intracranial metastases can reduce the mortality and morbidity, single intracranial metastatic lesions should be the first choice of surgical resection, according to patient tolerance combined with chemoradiotherapy, active treatment of patients with comprehensive treatment, prevention and treatment of complications Disease, maintain vital organs function.