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本文报告波士顿儿童医院1972～1981年间治疗的儿童颅咽管瘤37例。通过回顾分析对比治疗后的肿瘤生长情况,评价不同疗法的疗效及所出现的并发症或各种风险。并尽可能地判断每例患者的最终功能水平。临床资料及方法:按治疗分为两组: 第1组14例以切除肿瘤为首选治疗,术中认为达到全切的8例。本组接受放疗11例(不能全切6例;预防治疗3例;“全切”后复发2例)。第2组23例以放射作为首选治疗,同时施行活检、吸出囊液以及脑积水分流术。肿瘤最小照射量5000～5670拉得(平均5464拉得),疗程39～51天。两组治疗结果对比:
This article reports 37 cases of children with craniopharyngioma treated at Boston Children’s Hospital between 1972 and 1981. Through retrospective analysis and comparison of the tumor growth after treatment, evaluate the efficacy of different therapies and the occurrence of complications or various risks. And as far as possible to determine the final functional level of each patient. Clinical data and methods: According to treatment, the patients were divided into two groups: 14 patients in the first group were treated with resection of the tumor as the first choice, and 8 patients were considered to have achieved full resection. This group received 11 cases of radiotherapy (not 6 cases; 3 cases of preventive treatment; 2 cases of recurrence after “full cut”). In the second group, 23 cases were treated with radiation as the first choice. At the same time, biopsy, aspiration of cyst fluid, and hydrocephalus were performed. The minimum radiation dose of the tumor was 5,000 to 5,670 (average 5,464 pulled), and the course of treatment was 39 to 51 days. Comparison of treatment results between the two groups: