顽固性癫癎的术前评估与手术治疗36例报道  

Preoperative evaluation and surgical treatment of intractable epilepsy

作　　者：王晨[1] 肖其华[1] 李向东[2] 黄思庆 

机构地区：[1]南京医科大学附属苏州医院神经外科,江苏苏州215008 [2]苏州大学附属第一医院神经外科 [3]四川大学华西医院神经外科

出　　处：《癫痫与神经电生理学杂志》2013年第1期1-4,共4页Journal of Epileptology and Electroneurophysiology(China)

摘　　要：目的：探讨顽固性癫癎的术前致癎灶精确定位及手术方式选择。方法：对36例外科治疗的顽固性癫癎的临床资料进行回顾性分析。缩果：36例全部随访半年以上，其中按谭启富标准，疗效满意24例（67％），显著改善9例（2S％），良好3例（8％），均无永久性神经功能废损，亦无手术死亡病例。结论：术前各种方法联合应用致癎灶的精确定位、术中依据患者特点选择不同的手术方式及术后正确的处理是提高顽固性癫癎疗效的关键。Objective：To explore the location of epiletogenlc loci and selection of appropriate surgical procedures in intractable epilepsy（IE）. Methods z The clinical data of 36 patients with IE who underwent microsurgery from December, 2008 to May, 2011, were analyzed retrospectively. Results. All the patients were followed up from 6 months to 1 year postoperation. According to Tan Qifu grade of curative effect on epilepsy, The satisfactory outcome of 36 patients was achieved in 24 cases, marked improvement in 9 cases and improvement in 3 cases, The total effective rate was 100%, There were not permanent neurological defect and no patients died, Conclusion： It is strongly recommended that combination of various microsurgical procedures is an effective method to locate epiletogenic foci and a correct treatment of postoperative complications of mierosurgery,

关 键 词：顽固性癫癎 术前评估 手术 

分 类 号：R742.1[医药卫生—神经病学与精神病学] R651.111[医药卫生—临床医学]