摘要
目的探讨立体定向多靶点射频毁损手术治疗癫痫性精神障碍的疗效和并发症。方法采用CT定位、多靶点联合毁损对63例药物治疗无效的癫痫性精神障碍患者进行手术治疗,并进行远期随访,评估其疗效及并发症。结果随访时间12～27个月,平均(19.62±5.10)个月,共随访到57例患者,恢复3例,显著进步26例,进步24例,无效4例,加重0例,有效率92.98%;术后除早期暂时性并发症外,无远期严重并发症。结论立体定向多靶点射频毁损手术对癫痫性精神障碍是一种安全有效的治疗方法。
Objective To study the curative effect and complications of multi-nucleus lesion on epileptosis by stereotactic techniques. Methods With CT location and multi-nucleus lesion by radio-frequency equipment, 63 cases of epileptosis were treated, who all did not response to the medicine therapy. The curative effect and complications of this therapy were studied during the long-term follow-up. Results The follow-up ranged from 12 to 27 months, averaging （19.62 ±5.10） months. In 57 patients who were kept contact with, 3 recovered, 26 significantly improved, 24 improved, 4 were of no improvement, and no one got worse. The effective rate was 92.98%. Except tor early and transient complications, no serious long-term complications occurred in all patients. Conclusion The multi-nucleus lesion by stereotactic techniques is safe to the patients with epileptosis.
出处
《第三军医大学学报》
CAS
CSCD
北大核心
2006年第17期1814-1816,共3页
Journal of Third Military Medical University
关键词
癫痫性精神障
立体定向
射频毁损
epileptosis
stereotactic
radio-frequency impairment
