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本文对30例经手术治疗的脑转移瘤和椎管内转移瘤病例进行分析。男22例,女8例,年龄30～69岁,平均年龄43.6岁。肺癌、乳腺癌为最常见的原发灶,其次为消化道癌。颅内压增高为脑转移主要症状和体征,其次为偏瘫、偏盲、癫痫等。CT 扫描对脑转移瘤的定位诊断和定性诊断具有重要价值。作者结合文献讨论了本病的早期诊断和手术适应证等问题,并强调早期诊断和早期治疗的重要性。
This article analyzed 30 cases of brain metastases and intraspinal metastases treated with surgery. There were 22 males and 8 females, aged 30-69 years with an average age of 43.6 years. Lung cancer and breast cancer were the most common primary lesions, followed by gastrointestinal cancer. Increased intracranial pressure was the main symptom and sign of brain metastasis, followed by hemiplegia, hemianopia, and epilepsy. CT scan has important value in the diagnosis and qualitative diagnosis of brain metastases. The author discusses the problems of early diagnosis and surgical indication of the disease in combination with the literature, and emphasizes the importance of early diagnosis and early treatment.