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精确定位和外科治疗顽固性癫痫
引用本文:张新伟,徐如祥,柯以铨,周谷兰.精确定位和外科治疗顽固性癫痫[J].立体定向和功能性神经外科杂志,2001,14(4):195-198.
作者姓名:张新伟  徐如祥  柯以铨  周谷兰
作者单位:广州第一军医大学珠江医院神经外科,国际合作癫痫外科治疗中心
摘    要:目的:探索顽固性癫痫的致痫灶精确定位和外科治疗方法。方法:综合应用癫痫定位系统(三维痫灶精确定位诊疗计划系统)及影象学检查对74例顽固性癫痫患者进行术前、术中致痫灶三维精确定位、采用癫痫外科综合手术方案切除致痫灶、阻断致痫网。结果:术中64导皮层电极及8层深部电极检测证实癫痫定位系统定位准确可靠,随访疗效评估显效率达到86.7%,总有效率达到94.6%,术后正常神经功能保持良好,无明显后遗症。结论:综合应用癫痫定位系统和影象学定位及癫痫外科治疗方式是外科治疗顽固性癫痫的较好方法。

关 键 词:顽固性癫痫  三维定位  外科手术
修稿时间:2001年6月30日

Three dimensions location of epilepsy focus and composite operation program in surgical treatment of refractory epilepsy
Zhang Xinwei,Xu Ruxiang,Ke Yiquan,Zhou Gulan.Three dimensions location of epilepsy focus and composite operation program in surgical treatment of refractory epilepsy[J].Chinese Journal of Stereotactic and Functional Neurosurgery,2001,14(4):195-198.
Authors:Zhang Xinwei  Xu Ruxiang  Ke Yiquan  Zhou Gulan
Institution:Zhang Xinwei,Xu Ruxiang,Ke Yiquan,Zhou Gulan. Department of Neurosurgery,Zhujiang,Hospital,the First Medical College of PLA,Guangzhou,510282
Abstract:Objective: To study the methods of surgical treatment of refractory epilepsy. Methods: Epilepsy focuses were precisely located with three dimensions by systems of epilepsy focus three dimen- sions location diagnosis and treatment in 74 cases of refractory epilepsy before and during operation, management epilepsy focus and epilepsy net with composite operation program of surgical treatment of epilepsy. Results: Accurately location of "epilepsy system was confirmed with detect of 64 channels EcoG and 8 channels depth elector within operating, apparent efficacy was 86.7%, total efficacy was 94.6%. Conclusion: "Epilepsy syshem location and composite operation program of surgical treatment of epilepsy were better methods in surgical treatment of refractory epilepsy.
Keywords:Refractory epilepsy  Surgical treatment  Three dimensions location  
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