摘要
目的 解决难治性癫痫特别是位于重要功能区痫灶的手术处理。方法 对30例难治灶癫痫病人进行了病灶切除+皮层多处软脑膜下横纤维切断术,利用皮层电极反复描记,在手术显微镜下操作,直至整个术野棘尖波消失,脑电波全部趋于正常,术前术后均行神经心理学评定。结果 术后随访2～27个月,显效率83.3％,有效率93.3％,随访期未见任何运动、感觉、语言功能的损害。结论 该手术疗效肯定,尤其在功能区手术,术后未出现乎术并发症,取得了较好的癫痫发作控制及功能保护疗效。
Objective To study operation effect for refractory epilepsy. Methods 30 cases with refractory epilepsy were operated including focus removed and multiple transesection of subpial fibers. The operation was monitored under electroenicepholography until spike and sharp wave disappeared from all operative field and all brain wave tended to normal. The patient's neuropsychology was evaluated before and after operation. Follow up survey lasted 2-27 months. Results Obvious effect rate was 83. 3% and effect rate was 93. 3%. Any disturbance of movement, sensation and linguistic function didn't happen during follow up. Conclusion The operative effect is good, it is an ideal choice for refractory epilepsy.
出处
《淮海医药》
1999年第1期1-2,共2页
Journal of Huaihai Medicine
基金
安徽省蚌埠市科委科研基金资助
