颞叶癫痫的术前评估与手术治疗  

Preoperative evaluation and surgical treatment for temporal lobe surgery

作　　者：及时雨[1] 张云强[1] 李玉[1] 

机构地区：[1]昆明医学院附属第一医院神经外科,650031

出　　处：《河南外科学杂志》2007年第5期4-5,共2页Henan Journal of Surgery

摘　　要：目的对行手术治疗的顽固性颞叶癫痫患者术前进行综合评估,明确致痫灶部位,实施个体化手术方案。方法对26例颞叶癫痫患者术前进行视频脑电图(V-EEG)、磁共振成像(MRI)检查,综合分析检查结果,制定相应手术方案。术中行皮层脑电描记,术后对切除组织进行病理检查,并对患者进行手术后随访。结果V-EEG、MRI两种检查定位结果完全一致的有21例。24例患者(92.3%)术后癫痫发作完全或部分缓解,2例患者(7.6%)无明显缓解。结论对顽固性颞叶癫痫患者术前进行综合评估,对制定合理的手术方案,提高治愈率有重要指导意义。Objective We took a series of assessments and investigations on intractable temporal lobe epilepsy paitents before surgery to make accurate localization and lateralization , and use different surgical strategies for different subtypes of patients. Methods Twenty - six patients with temporal libe epilepsy were examined by Video - EEG and MRI. After preoperative evaluation open cranioectomy was performed in all patients and the tissue resected was examined with pathological test. Results The results of Video - EEG , MRI were coherent in twenty - one patients. 24 patients （92.3%） had been completely or incompletely free of seizure surgery and 2 cases （7.6%） had no significant improvement. Condusion Preoperative evaluation can play an important role in making temporal lobe surgical strategies and is help to promote the surgical outcome.

关 键 词：颞叶癫痫 手术 术前评估 

分 类 号：R735.9[医药卫生—肿瘤]