经典前颞叶切除术治疗颞叶癫痫附12例分析  

Clinicalanalysis of classic anterior temporal lobectomy for cases temproallobe epilepsy

作　　者：黄绍宽[1] 袁邦清[1] 苏同刚[1] 林川凎[1] 吴贤群[1] 林立[1] 杨光[1] 沈汉超[1] 林杨杨[1] 傅芬兰[1] 

机构地区：[1]南京军区福州总医院四七六医院神经外科,福州350002

出　　处：《立体定向和功能性神经外科杂志》2013年第3期149-151,共3页Chinese Journal of Stereotactic and Functional Neurosurgery

摘　　要：目的探讨经典前颞叶切除术治疗颞叶癫痫的疗效及并发症。方法对12例颞叶癫痫患者行磁共振(MRI)、脑电图(EEG)检查、颅内电极埋置等监测,进行术前综合评估,在皮层电极引导下行经典前颞叶切除术。结果 12例术后随访2年,满意9例,显著改善1例,良好1例,无效1例,有效率83.3%。结论颞叶癫痫手术治疗效果好,对致痫灶的准确定位能保证较好疗效,熟悉颞叶局部解剖结构及娴熟的手术技巧可以减少手术并发症的发生。Objective Investigate on efficacy and complications of classic anterior temporal lobectomy of temporal lobe epilepsy.Methods In 12cases of temporal lobe epilepsy underwent magnetic resonance（MRI）,electroencephalogram（EEG）examination,intracranial-electrode embedded monitoring,comprehensive preoperative-evaluation,classic anterior temporallobectomy guided by cortical electrode monitoring.Results All the patients were followed up 2-year.Among 12patients,the surgical effects of 9cases were satisfied,1case was improved significantly,1case was improved,1case was invalid,the effective percentage is 83.3%.Conclusion The effect of surgical treatment of Temporal lobe epilepsy is satisfactory,the accurate localization of epileptogenic can ensure good curative effect,we must be proficient in the local anatomy of temporal lobe and skilled surgical techniques,so can reduce surgical complications.

关 键 词：颞叶癫痫 经典前颞叶切除术 颅内电极 

分 类 号：R742.1[医药卫生—神经病学与精神病学]