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顽固性癫痫外科手术治疗

冯文 高晋健 高利民 吴建兵

四川医学2011,Vol.32Issue(11):1671-1673,3.
四川医学2011,Vol.32Issue(11):1671-1673,3.

顽固性癫痫外科手术治疗

Surgical treatment for Intractable epilepsy.

冯文 1高晋健 1高利民 1吴建兵1

作者信息

  • 1. 成都363医院脑外科,四川成都610041
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摘要

Abstract

Objective To share with you the results of surgical treatment and experiences by concluded of the methods of 483 patients' operative strategy and Intraoperative positioning of epileptic foci in intractable epilepsy. Methods Retrospective a-nalysis of 483 patients of intractable epilepsy from 2001 June to 2011december who underwent epilepsy surgery craniotomy. Sum-maried the technology of positioning epileptic foci, location of epileptogenic lesions, operative strategy and 1 ~ 8 year fallow-up results. Results The patients' postoperative effects acording to Engel's standard were grade I in 313 cases, grade H in 73cases, grade IH in 65 cases, and grade IV in 32 cases. 7 cases of postoperative epidueal hematoma, 17 cases of transient language dysfunction , 25 cases of transient edcline in muscle force, 1 case of paralysis of the right- upper limb, 3 cases of memory loss. No case edad. Conclusion Surgery is a effective treatment for intractable epilepsy. Accurate location of epileptogenic zone and com-bitation of mutiple epileptic surgical procedures can result in significant improvements in seizure control for intractable epilepsies without structural lesions.

关键词

顽固性癫痫/外科手术

Key words

intractable epilepsy/ surgical therapy

分类

医药卫生

引用本文复制引用

冯文,高晋健,高利民,吴建兵..顽固性癫痫外科手术治疗[J].四川医学,2011,32(11):1671-1673,3.

基金项目

四川省卫生厅科研基金项目(编号040137) (编号040137)

四川医学

OACSTPCD

1004-0501

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