摘要
目的 探讨手术治疗顽固性癫痫的适应证和手术方法的选择。方法 应用多导联头皮电极脑电图和术中使用皮质电极和深部电极脑电图明确痫性放电的部位及范围。手术方式有病灶切除、胼胝体切开、MST(多处软膜下横切 )以及脑立体定向术。结果 疗效按 Penfied的标准评定 :术后无癫痫发作 2 8例 (3 2 .6% ) ,其中 2 2例仍服用少量抗癫痫药 ;发作减少 >75 %者 3 5例 (4 7.7% ) ;发作减少 5 0 %～ 75 %者 1 7例 (1 9.8% ) ;效差或无效 6例 (7% )。结论 严格筛选病例 ,把握好手术适应证及合理选用手术方法 。
Objective To analysis the outcome of patients with refractory epilepsy who had undergone the surgical treatment Methods Epilepsy focuses were precisely located with 128 channels EEG before and during operation The choices of surgical treatment included resection of epilepsy focus, anterior callosotomy, MST and stereotactic techniques Results Evaluate the benefit of the treatment on the basis of Penfied's standard Within 1～3 years after operation, no seizure in 32.6%, seizures decline >75% in 47.7%, seizures decline 50%～75% in 19.8%, slight improvement and no improvement in 7% Conclusion For increasing the efficacy of surgical treatment of refractory epilepsy, choicing cases strictly and operating methods reasonablly are all importent
出处
《临床军医杂志》
CAS
2002年第3期34-35,共2页
Clinical Journal of Medical Officers
关键词
顽固性癫痫
外科手术
治疗
refractory epilepsy
surgical treatment
