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目的探讨绒癌脑转移手术治疗的价值。方法分析绒癌脑转移９例手术与非手术治疗结果，ＣＴ特点以及预后。结果ＣＴ对早期发现脑转移有确诊意义，ＣＴ显示转移灶直径≥３．０ｃｍ或有明显高颅压而降颅压治疗不能完全缓解者，以积极手术切除转移灶或去骨瓣减压为宜。结论在全身化疗及鞘内化疗的基础上，手术切除绒癌转移灶对延长病人生存期有益
Objective To investigate the value of surgical treatment of choriocarcinoma brain metastases. Methods The results of surgical and non-surgical treatment of 9 cases of choriocarcinoma brain metastases, CT features, and prognosis were analyzed. [Results] CT has a definite significance for the early detection of brain metastases. CT shows that the diameter of metastasis is more than or equal to 3.0 cm or there is obviously high intracranial pressure and the intracranial pressure can not be completely relieved. It is appropriate to actively remove the metastases or decompress the decompressive craniectomy. . Conclusion On the basis of systemic chemotherapy and intrathecal chemotherapy, surgical removal of choriocarcinoma metastases is beneficial to prolong the survival of patients.