摘要
目的:对X刀治疗癫痫进行临床观察。方法:选择明确诊断的难治性癫痫,经过EEG或AEEG、MRI、MRS、FLAIR、SPECT等检查,结合临床症状,对定位明确的致痫灶行X刀治疗。结果:X刀治疗137例,随访6~29个月,满意73例,显著改善和良好37例,较差和无效27例,癫痫控制率为53.2%,有效率为80.3%。结论:X刀治疗难治性癫痫是一种安全有效的治疗手段,关键是准确定位致痫灶,但对原发性癫痫疗效较差,有待进一步研究。
Objective: To observe the clinical result of X knife treating epilepsy. Methods: Doing X knife to the refractory epilepsy, through inspections of EEG or MRS, AEEG, MRI, FLAIR, SPECT, and so on, combined with clinical symptoms. Results: 137 cases were treated by X knife. Follow-up visits for 6-29 months. Among them, 73 cases were satisfactory; in 37 cases there were remarkable improved; for the rest (37 cases), X knife treatment was invalid. The inverse amplification factor of epilepsy was 53.2%, and the effectiveness was 80.3%. Conclusion: X knife treatment to epilepsy is a safe and effective treatment way, the key is the accurate localization of epilepsy focus. But the effectiveness of primary epilepsy is not perfect, and this needs further studies.
出处
《中国医药导报》
CAS
2010年第29期155-156,共2页
China Medical Herald
关键词
X刀
难治性癫痫
核磁共振波谱
X knife
Refractory epilepsy
Magnetic resonance spectrum (MRS)