外科手术治疗难治性癫痫分析  

Surgical treatment of refractory epilepsy

作　　者：刘诤[1] 沈冰[1] 李宗正[1] 孙涛[1] 马辉[1] 夏玉成[1] 

机构地区：[1]宁夏医学院附属医院,宁夏银川750004

出　　处：《宁夏医学杂志》2007年第10期903-904,共2页Ningxia Medical Journal

摘　　要：目的总结难治性癫痫的临床特点,探索外科治疗该类疾病的临床经验。方法回顾性分析37例符合外科治疗难治性癫痫患者的治疗过程,所有患者术前均经神经电生理检查和影像学检查,在皮层脑电监护系统(ECOG)及深部电极监测下行手术,手术方式以切除致痫灶为主。结果手术后癫痫控制情况按Engel标准评判:I级29例,Ⅱ级3例,Ⅲ级l例,神经心理功能改善1例。结论外科手术是治疗难治性癫痫的一种有效方法,它可以控制或减轻癫痫的发作。Objective To summarize the clinical features of refractory epilepsy, and to explore the clinical experience of surgical treatment. Methods The treatment of 37 patients with refractory epilepsy were analyzed retrospectively by the comprehensive application of the imaging examination and EEG monitor, and the operation were performed under electrocorticogram （EcoG） and depth electrodes. The control situation of epilepsy was evaluated by Engel Standard. Results According to Engel Standard, there were 29 cases achieved to Engel Ⅰ, 3 cases achieved to Engel Ⅱ and 1 cases achieved to Engel Ⅲ. The neuro - psychological functions of 1 case were improved. Conclusion The surgical treatment would be a good choice when patients suffered from refractory epilepsy.

关 键 词：癫痫 脑电监护 

分 类 号：R651.1[医药卫生—外科学]