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目的 探讨脑转移瘤的临床特点和有关治疗方法 ,提高对脑转移瘤的再认识。方法 回顾我院 1988～1997年间 90例脑转移瘤 ,分析脑转移瘤的临床特点、诊断方法和治疗原则。结果 脑转移瘤并非均适宜手术 ,本组仅 5 7例行全切或次全切 ,术后行放疗或化疗后均不同程度延长了生存期 ,手术死亡率 3 77% ,未手术组 33例。结论 手术治疗联合放疗及化疗明显优于单纯放疗或化疗 ,是治疗脑转移瘤的有效治疗方案。
Objective To investigate the clinical features of brain metastases and related treatment methods to improve the understanding of brain metastases. Methods 90 cases of brain metastases in our hospital from 1988 to 1997 were retrospectively analyzed. The clinical features, diagnostic methods and treatment principles of brain metastases were analyzed. The results of brain metastases are not suitable for surgery, the group of only 57 cases of total or subtotal resection, postoperative radiotherapy or chemotherapy were extended to varying degrees after the survival, surgical mortality was 3 77%, 33 cases of non-surgical group . Conclusions Surgical treatment combined with radiotherapy and chemotherapy is superior to radiotherapy or chemotherapy alone, which is an effective treatment for brain metastases.