CAJ | 학술논문

目的：探讨伽玛刀治疗海绵窦海绵状血管瘤的疗效。方法 Leksel C型伽玛刀治疗海绵窦海绵状血管瘤32例，其中有病理证实的12例，经MRI诊断20例。肿瘤最大直径为2.0-5.5cm。肿瘤边缘剂量为9-15Gy，平均12.4 Gy。肿瘤中心剂量为18-30Gy，平均24.8 Gy。随访时间12-112个月，平均52个月。结果9例基本消失，19例明显缩小，4例变化不明显，无增大病例。结论伽玛刀是治疗术后残留，中小型体积及不能耐受手术海绵状血管瘤的有效方法之一。
목적：탐토가마도치료해면두해면상혈관류적료효。방법 Leksel C형가마도치료해면두해면상혈관류32례，기중유병리증실적12례，경MRI진단20례。종류최대직경위2.0-5.5cm。종류변연제량위9-15Gy，평균12.4 Gy。종류중심제량위18-30Gy，평균24.8 Gy。수방시간12-112개월，평균52개월。결과9례기본소실，19례명현축소，4례변화불명현，무증대병례。결론가마도시치료술후잔류，중소형체적급불능내수수술해면상혈관류적유효방법지일。
Objective To discuss the curative effect of gamma knife treatment of cavernous sinus cavernous hemangiomas.Method 32 cases with cavernous sinus cavernous hemangiomas were treated with Leksel C gamma knife, including 12 cases confirmed by pathology and 20 cases diagnosed by MRI. The maximum diameter of tumor was 2.0-5.5cm. The tumor margin dose ranged from 9 to 15 Gy,mean 12.4 Gy. The tumor central dose ranged from 18 Gy to 30 Gy, mean 24.8 Gy.The radiological fol ow-up period was12-112 months, mean 52 months.Results Imaging findings revealed: of the 32 tumors, 9 almost disappeared, 19 decreased markedly in size and 4 kept stable,without increasing cases. Conclusion It is one of the effective methods for postoperative tumor residual, smal and middle-size cavernous sinus cavernous hemangioma,or for patients who are not suitable for craniotomy.