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脑动静脉畸形的伽玛刀(Y-刀)治疗研究(附70例报道)
引用本文:岳向勇,武江,杜亚丽,李文玲. 脑动静脉畸形的伽玛刀(Y-刀)治疗研究(附70例报道)[J]. 脑与神经疾病杂志, 2008, 16(4): 414-415
作者姓名:岳向勇  武江  杜亚丽  李文玲
作者单位:河北省人民医院功能神经外科,石家庄,050051;河北省人民医院功能神经外科,石家庄,050051;河北省人民医院功能神经外科,石家庄,050051;河北省人民医院功能神经外科,石家庄,050051
摘    要:目的:观察伽玛刀(Y-刀)治疗脑动静脉畸形(AVM)的治疗效果。方法:对70例脑动静脉畸形的患者,采用Leksell-B型伽玛刀实施立体定向放射外科治疗,予处方剂量18~25Gy,平均21.8Gy。结果:获随访资料70例(随访时间1149个月,平均27个月),复查MRI显示畸形血管流空明显减少8例,占14.8%,完全消失42例,占77.8%,多数患者临床症状于伽玛刀治疗后消失或明显改善。结论:伽玛刀(Y-刀)是一种治疗脑动静脉畸形安全、有效的手段,可作为治疗脑动静脉畸形的首选方法。

关 键 词:伽玛刀(Y-刀)  脑动静脉畸形

The study of cerebral arteriovenous malformation after gamma knife radiosurgery(Report of 70 cases)
Affiliation:YUE Xiang-yong,WUJiang,DU Ya-1i,et al.(Department of Funtional Neurosurgery Hebei General Hospital,ShiJiazhuang 050051)
Abstract:Objective:To observe the effect of arteriovenous malformation of brain(AVM)treatment with gamma knife.Methods:70 patients of AVM after Leksell-B 7-kinfe treatment,deal with dosage 18~25Gy,average 21.8Gy.Results:70 patients were folloused(11-49monthes,average27 monthes),and MRI show the flow of abnormalvessel decrease obviously in 8 patientients and,42 patients completely disappear in 42 patients.The symptom of most patients disappeared or improved obviously after r-kinfe treatment.Conclusion:r-knife is a kind of safe and effective method,it can be the first seection of treat ment AVM.
Keywords:Gamma kinfe Cerebral arteriovenous malformation
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