| 颞叶癫癎的手术治疗效果分析 |
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| 引用本文： | 安宁,杨辉,张可成,周政,刘仕勇,杨梅华,黄婷.颞叶癫癎的手术治疗效果分析[J].第三军医大学学报,2003,25(20):1824-1826. |
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| 作者姓名： | 安宁 杨辉 张可成 周政 刘仕勇 杨梅华 黄婷 |
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| 作者单位： | 第三军医大学附属新桥医院神经外科,重庆,400037 |
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| 摘 要： | 目的 评价手术治疗对难治性颞叶癫痫的疗效。方法 回顾性总结72例难治性颞叶癫痫的手术效果。结果 随访1～11年，癫痫发作停止37例(51．4％)，发作频率减少75％以上19例(26．4％)，发作频率减少50％～75％，者8例(11．1％)，效差或无效8例(11．1％)，总有效率为88．9％，无严重并发症及手术死亡。结论 外科手术治疗对药物难治性颞叶癫痢是一种安全、有效的方法；对致痫灶的精确定位和彻底处理是提高疗效的关键。
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| 关 键 词： | 颞叶癫痫 手术治疗 |
| 文章编号： | 1000-5404(2003)20-1824-03 |
| 修稿时间： | 2003年5月15日 |
Surgical therapeutic effects of operation on temporal lobe epilepsy |
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| AN Ning,YANG Hiu,ZHANG Ke cheng,ZHOU Zheng,LIU Shi yong,YANG Mei hua,HUANG Ting.Surgical therapeutic effects of operation on temporal lobe epilepsy[J].Acta Academiae Medicinae Militaris Tertiae,2003,25(20):1824-1826. |
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| Authors: | AN Ning YANG Hiu ZHANG Ke cheng ZHOU Zheng LIU Shi yong YANG Mei hua HUANG Ting |
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| Abstract: | Objective To evaluate the of operative effect on intractable temporal epilepsy. Methods The outcomes of 72 intractable temporal epilepsy patients (treated by surgical operation) were retrospectively analyzed. Results After a follow up of 1 to 11 years, epileptic seizure stopped in 37 cases(51.4%); seizure frequency reduced by more than 75% in 19 cases(26. 4%), ranging from 50% to 75% in 8 cases(11.1%) and no marked change was found in 8 patients (11.9%). The gross efficiency rate was 88.9%. No death and severe complications were found in 72 patients. Conclusion Surgical treatment of drug refractory temporal epilepsy is safe and efficient because of the precise localization of the epileptogenic lesion and focus before complete resection. |
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| Keywords: | temporal lobe epilepsy surgical treatment |
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