CAJ | 학술논문

目的：回顾性分析脑胶质瘤临床诊断和治疗效果。方法采用CT和MRI等影像学检查，结合临床表现初步做出胶质瘤的诊断，然后行显微开颅手术治疗和进一步病理检查，术后常规给予放化疗治疗，随访观察6个月～4年。结果术前初步诊断脑胶质瘤20例，并得到术后病理检查的确认。显微手术大多能将瘤体切除，使术前一些症状得到改善。经放化疗治疗后，随访观察发现3年的生存率为57.9%（11/19）。结论综合运用MRI等影响学检查基本能在术前明确脑胶质瘤的诊断。及时的手术切除能改善术前一些症状，进一步的放化疗治疗，对提高生存率有一定作用。
목적：회고성분석뇌효질류림상진단화치료효과。방법채용CT화MRI등영상학검사，결합림상표현초보주출효질류적진단，연후행현미개로수술치료화진일보병리검사，술후상규급여방화료치료，수방관찰6개월～4년。결과술전초보진단뇌효질류20례，병득도술후병리검사적학인。현미수술대다능장류체절제，사술전일사증상득도개선。경방화료치료후，수방관찰발현3년적생존솔위57.9%（11/19）。결론종합운용MRI등영향학검사기본능재술전명학뇌효질류적진단。급시적수술절제능개선술전일사증상，진일보적방화료치료，대제고생존솔유일정작용。
Objective Retrospective analysis of glioma clinical diagnosis and treatment.Methods CT and MRI and other imaging examination, clinical manifestations make a preliminary diagnosis of glioma, then underwent microsurgery craniotomy and further pathological examination and postoperative radiotherapy and chemotherapy routinely given, followed up in 6 months~4 years.Results Preoperative preliminary diagnosis of glioma 20 cases and confirmed by pathological examination. Most micro-surgery tumor resection can make some symptoms before surgery improved. After chemotherapy treatment, follow-up study found that 3 years survival rate was 57.9% (11/19).Conclusion The integrated use of MRI and other impact studies can basically confirm the diagnosis of gliomas preoperatively. Timely surgery can improve some symptoms before surgery, further chemotherapy and radiotherapy, have a role to improve the survival rate.