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脑胶质瘤术后早期癫痫发作的相关因素探讨 被引量:3

Related Factors of Early Epileptic Seizures after Glioma Surgery
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摘要 目的探究分析脑胶质瘤术后早期癫痫发作的相关因素。方法从2012年1月至2018年9月我院接受脑胶质瘤手术的患者中抽选160例,按照是否早期癫痫发作分为实验组和对照组。其中,实验组80例,为术后早期癫痫发作,对照组80例,为术后未出现早期癫痫,分析脑胶质瘤术后早期癫痫发作的相关因素。结果相关研究显示,脑胶质瘤术后早期癫痫发作与年龄、性别、切除程度无关,与瘤周水肿大小、肿瘤大小、术前癫痫史、病理级别相关,且瘤周水肿>2cm、肿瘤越大、有术前癫痫史、病理级别为Ⅰ~Ⅱ时,发生早期癫痫的概率越大。结论脑胶质瘤术后早期癫痫发作的相关因素包括瘤周水肿大、肿瘤、术前具有癫痫史等,在治疗过程中,需要多加注重。 Objective To investigate the related factors of early seizure after glioma surgery. Methods From January 2012 to September 2018, 160 patients in our hospital who underwent glioma surgery were enrolled in the study group and control group according to whether they had early seizures. Among them, 80 cases in the experimental group were early postoperative seizures and 80 cases in the control group. There was no early epilepsy after operation,and the related factors of early seizure after glioma were analyzed. Results Related studies showed that early seizures after glioma were not related to age, gender, and degree of resection, and were related to peritumoral edema size,tumor size, preoperative epilepsy history, pathological grade, and the more peritumoral edema > 2 cm, the larger the tumors, the history of preoperative epilepsy, and the pathological grade Ⅰ ~ Ⅱ, the greater the probability of early epilepsy. Conclusion The related factors of early postoperative seizures in glioma include peritumoral edema, tumor,and history of epilepsy before surgery. In the course of treatment, more attention should be paid.
作者 李光雷 毕红卫 程颖 LI Guang-lei;BI Hong-wei;CHENG Ying(Binzhou People’s Hospital,Binzhou,Shandong 256600)
机构地区 滨州市人民医院
出处 《智慧健康》 2019年第8期74-75,共2页 Smart Healthcare
关键词 脑胶质瘤术 早期癫痫 相关因素 Glioma surgery Early epilepsy Related factors
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