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目的 :探讨以SRS与全颅放射治疗相结合的方法综合治疗脑转移瘤的疗效。材料与方法 :根据病人病情分为三组 :4例行单纯SRS治疗 ,6例先行SRS治疗后再行全颅照射 ,6例先行全颅照射再行SRS治疗。结果 :根据病灶的缩小或消失、原位复发、脑水肿消失四项观察指标 ,随访 6月 ,认为先全颅照射再行SRS治疗的方案疗效较好。结论 :我们认为 ,对于脑转移瘤经全颅照射再行SRS治疗转移灶控制较好 ,较少出现复发和新的转移灶 ,具有一定的推广价值。
Objective: To explore the combination of SRS and whole-head radiotherapy for the treatment of brain metastases. Materials and Methods: According to the patient’s condition, the patients were divided into three groups: 4 patients were treated by simple SRS, 6 patients were treated by SRS, followed by whole-cranial irradiation, and 6 patients were treated by SRS after cranial irradiation. Results: According to the reduction or disappearance of lesions, the recurrence in situ and the disappearance of cerebral edema, the four observation indexes were followed up for 6 months. It was considered that the SRS treatment with whole cranial irradiation was better. CONCLUSIONS: We think that it is better to control the metastatic lesions of brain metastases by SRS after whole-head irradiation, with fewer recurrences and new metastases, which has a certain promotion value.