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对35例38处转移性恶性黑色素瘤压迫脊髓和马尾者作了姑息性放疗。从初诊到出现硬膜外压迫为0～16年,中数时间2年,均有典型的脊髓或神经根受压的症状与征象。28例作了椎管造影,3例作了CT,4例作了MRI及3例作了椎管造影和CT或MRI两种检查。硬膜外压迫部位计颈髓3例,胸髓19例,腰髓9例,马尾9例,3例有2处压迫。11例放疗前作了椎板切除减压。在诊断硬膜外压迫24小时内开始放疗,作减压术者伤口愈合后放疗。放疗用~(60)钴、6或15MV直线加速器,每天分割从200
35 cases of 38 metastatic malignant melanoma spinal cord and cauda equina palliative radiotherapy. From the initial diagnosis to appear epidural compression of 0 to 16 years, the median time of 2 years, there are typical symptoms of spinal cord or nerve root compression and signs. 28 patients underwent spinal angiography, 3 patients underwent CT, 4 patients underwent MRI and 3 patients underwent spinal canal angiography and CT or MRI examinations. Epidural compression of the site of cervical spinal cord in 3 cases, 19 cases of chest, spinal cord in 9 cases, 9 cases of cauda equina, 3 cases of 2 oppression. Eleven patients underwent laminectomy and decompression before radiotherapy. In the diagnosis of epidural compression within 24 hours to start radiotherapy for decompression surgery wound healing after radiotherapy. Radiotherapy with ~ (60) cobalt, 6 or 15 MV linear accelerator, splits daily from 200