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选择性海马、杏仁核切除术治疗颞叶内侧癫痫47例 被引量:4

Selective amygdalohippocampectomy for mesial temporal lobe epilepsy in 47 cases
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摘要 目的总结选择性海马、杏仁核切除术(selective amygdalohippocampectomy,SAH)对颞叶内侧癫痫治疗效果。方法总结2011年6月至2013年5月在我科接受选择性海马、杏仁核切除术的颞叶内侧患者47例,记录术后重要并发症,随访术后1年癫痫发作频率。结果术后无偏瘫、失语、死亡。术后1年Engel I级36例(78.3%)Engel II级4例(8.7%),Engel III-IV级6例(13%),失访1例。结论选择性海马、杏仁核切除术治疗颞叶内侧癫痫安全、控制发作疗效良好。 Objective To observe the outcomes of selective amygdalohippocampectomy (SAH) for mesial temporal lobe epilepsy (MTLE). Methods Forty-seven cases of MTLE experienced SAH from Jun 2011 to May 2013 were srudied. Postoperative important complications were recorded and seizure frequency was followed up 1 year after operation. Results There was no postoperative paralysis, no aphasia and no death was observed in this group of patients. The outcome of seizure controlling was Engel Ⅰ in 36 cases (78.3%), Engel Ⅱ in 4 cases (8.7%), and Engel Ⅲ-Ⅳ in 6 cases (13%). One case was lost during follow-up. Conclusion SAH is safe and effective for MTLE. It has satisfactory effect in seizure control.
出处 《北京医学》 CAS 2015年第10期921-923,共3页 Beijing Medical Journal
基金 国家重点基础研究发展计划(973计划) 清华大学自主创新课题(2011Z01015)
关键词 颞叶内侧癫痫 选择性海马杏仁核切除术 疗效 Mesial temporal lobe epilepsy Selective amygdalohippocampectomy Outcome
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