目的　综合分析脑转移瘤的诊疗 ,以其提高脑转移瘤的疗效和生存质量。方法　回顾分析 12 5例脑转移瘤不同治疗的效果。结果　 12 5例中孤立性脑转移瘤 5 1例 ,多发性脑转移瘤 74例。经各类手术治疗的 82例 ,补充放疗 3 1例、术后并发症 (脑水肿、偏瘫、失语等 )占 46.85 % ,病人生存期限 3～ 2 4个月 ,平均 10个月 ,生存率平均占5 0 .3 %。旋转式伽玛刀治疗的 43例 ,补充放疗 14例、无术后并发症。病人生存期限 8～ 2 6个月 ,平均 13 .5个月 ,生存率平均占 73 .8%。结论　手术加放疗 ,是目前孤立性脑转移瘤的主要治疗手段 ;旋转式伽玛刀是单发、多发性脑转移瘤的治疗趋势 ,且可以提高生存期限和生存质量 ,减少术后伤残率 Objective To comprehensively analyze the diagnosis and treatment of brain metastases to improve the efficacy and quality of life of brain metastases. Methods Retrospective analysis of 125 cases of brain metastases of different treatment effect. Results 125 cases of solitary brain metastases in 51 cases, 74 cases of multiple brain metastases. 82 cases of various types of surgery, radiotherapy 31 cases, postoperative complications (cerebral edema, hemiplegia, aphasia, etc.) accounted for 46.85%, the patient’s survival period of 3 to 24 months, an average of 10 months, the average survival rate Accounting for 50.3%. Rotating gamma knife treatment of 43 cases, 14 cases of radiotherapy, no postoperative complications. The patient’s survival period was 8 ~ 26 months, with an average of 13.5 months, with an average survival rate of 73.8%. Conclusions Surgery plus radiotherapy is the main treatment for solitary brain metastases. Rotating gamma knife is the treatment trend of solitary and multiple brain metastases, and can improve the survival and quality of life, and reduce the postoperative disability rate