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目的:探讨囊性颅咽管瘤的最佳治疗方法。方法:30例采用立体定向穿刺囊内置管术;20例手术部分切除+囊内置管术。每人治疗2~3次,间隔时间一个月,每次按每克肿瘤组织给以015~02mCi放射剂量,平均248mCi/次。结果:手术成功率100%。平均随访35年,近期有效率100%,远期有效率90%。2例肿瘤复发需手术治疗,其余均恢复工作或学习能力。结论:颅咽管瘤系良性肿瘤,内放射治疗可收到良好的治疗效果。
Objective: To investigate the best treatment of cystic craniopharyngioma. Methods: Thirty patients underwent stereotactic puncture balloon catheterization and 20 patients underwent partial capsulotomy. Each treatment 2 to 3 times, one month interval, each time per gram of tumor tissue to 0 15 ~ 0 2mCi radiation dose, an average of 2 48mCi / time. Results: The success rate of surgery was 100%. The average follow-up of 3.5 years, the recent efficiency of 100%, long-term efficiency of 90%. Tumor recurrence in 2 cases required surgical treatment, and the rest recovered their work or study ability. Conclusion: Craniopharyngioma is a benign tumor, and internal radiation therapy can receive good therapeutic effect.