文档介绍：伽玛刀放射外科治疗眼眶海绵状血管瘤
刘东李彦和张志远张宜培宋国祥徐德生
天津医科大学第二医院伽玛刀中心
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摘    要:
目的总结评价眼眶海绵状血管瘤伽玛刀放射外科治疗的中长期疗效。方法回顾性分析45例采用Leksell伽玛刀治疗的眼眶海绵状血管瘤病人的临床资料, 其中累及眶尖部病变36例, 眼眶前中部9例。 Gy, Gy。结果病人在伽玛刀治疗后均未出现新的脑神经功能受损症状, 突眼症状缓解23例, 视力提升22例, 4例出现病侧一过性球结膜水肿。45例病人随访18120个月, 平均(±) 个月, 复查MRI和(或) CT显示病灶体积缩小41例(%) , 无明显变化4例(%) 。随访期内无复发及再手术病例。结论伽玛刀治疗眼眶海绵状血管瘤可长期控制肿瘤生长, 又取得较高的神经功能保留率, 并发症罕见, 可作为眼眶海绵状血管瘤的主要治疗方法之一, 值得推广。
关键词:
血管瘤, 海绵状; 眼眶; 伽玛刀; 放射外科;
作者简介:徐德生, Email:gammaknife@
Gamma knife radiosurgery for orbital cavernous hemangioma
Liu Dong Li Yanhe Zhang Zhiyuan Zhang Yipei Song Guoxiang Xu Desheng
Gamma Knife Center, Second Hospital of Tianjin Medical University;
Abstract:
Objective To summarize and evaluate the medium-and long-term efficacy of Gamma knife radiosurgery for orbital cavernous hemangiomas (OCH) . Methods Clinical data of 45 OCH patients who received Leksell gamma knife therapy were analyzed retrospectively, including 36 lesions located in the orbital apex and 9 in the middle and anterior parts of orbit. The prescription peripheral dose arranged from to Gy with the median dose of Gy. Results There was no new symptom related to cranial nerve dysfunction after gamma knife therapy. Exophthalmos was improved in 23 patients, visual acuity in 22 and transient chemos