难治性颞叶癫癎的显微外科治疗  

Microsurgical treatment of temporal lobe epilepsy

作　　者：刘灵慧[1] 陈善成[1] 项永生[1] 杜天明[1] 李冬娜[1] 

机构地区：[1]暨南大学附属第一医院神经外科,广州市510630

出　　处：《中华显微外科杂志》2004年第2期84-85,i001,共3页Chinese Journal of Microsurgery

基　　金：广东省重大科技攻关项目 (990 4 6)

摘　　要：目的　总结显微外科手术治疗难治性颞叶癫的临床经验。　方法　回顾性分析显微外科手术切除前颞叶 5 0例颞叶癫的病例。　结果　无死亡病例。术后随访半年至 5年 ,症状发作完全消失 2 5例 ,基本消失 13例 ,发作次数减少 5 0 %或变型小发作 9例 ,无效 3例 ,有效率达 95 %。　结论　应用显微外科技术切除前颞叶治疗颞叶癫可以明显减少并发症 ,提高临床疗效。Objective To sum up clinical experiences of intractable temporal lobe epilepsy by microsurgery. Methods A retrospective review was conducted in 50 cases with epilepsy,and temporal lobe was resected by microsurgery from June 1996 to Oct. 2003. Results Follow-up patients from six months to five years.The follow up showed healing outcome in 25 cases,good results in 13 cases,unsatisfactory outcome in 9 cases,no improvement in 3 cases.Slight paresis 6 cases,divagation 8 cases,psychosis 5 cases and no death case. Conclusions Application of microsurgery can obvously improve the clinical result of patients with temporal lobe epilepsy and decrease the complication after operation.

关 键 词：难治性颞叶癫痫 显微外科 并发症 手术治疗 

分 类 号：R651[医药卫生—外科学]