| 显微切除痫灶治疗颞叶顽固性癫痫的疗效分析 |
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| 引用本文： | 齐洪武,王政刚,张卫宁,张旭东,樊丰势,程建业,王帅,赵亚鹏.显微切除痫灶治疗颞叶顽固性癫痫的疗效分析[J].西南军医,2007,9(2):38-40. |
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| 作者姓名： | 齐洪武 王政刚 张卫宁 张旭东 樊丰势 程建业 王帅 赵亚鹏 |
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| 作者单位： | 解放军白求恩国际和平医院神经外科,河北,石家庄,050082 |
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| 摘 要： | 目的总结显微切除痫灶治疗颞叶顽固性癫痫的临床疗效。方法颞叶顽固性癫痫24例,手术采用改良翼点入路切口,运用良好的显微外科技术,将癫痫灶切除。结果术后随访半年至3年,16例癫痫发作完全消失,4例术后较术前显著改善,2例术后效果良好,手术总有效率91.7%(22/26)。结论根据脑电监测范围显微切除痫灶治疗颞叶顽固性癫痫是安全、有效的手术方式,辅以综合治疗术后并发症少,疗效满意。
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| 关 键 词： | 癫痫灶 显微外科手术 颞叶癫痫 |
| 文章编号： | 1672-7193（2007）02-0038-03 |
| 收稿时间： | 2006-10-24 |
| 修稿时间： | 2006年10月24 |
Curative Effect Analysis of Microsurgical Removal of Epileptogenic Focus in the Treatment for Patients with Intractable Tempoal Lobe Epilepsy |
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| Authors: | QI Hongwu WANG Zhenggang ZHANG Weining ZHANG Xudong FAN Fengshi CHENG Jianye WANG Shuai ZHAO Yapeng |
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| Abstract: | Objective To discuss the curative effect of microsurgical removal of epileptogenic focus in the treatment for patients with intractable temporal lobe epilepsy(TLE).Methods 24 patients with intractable temporal lobe epilepsy were operated via modified pterional approach with good microsurgical technique and the epileptogenic focuses were removed.Results The follow-up from half year to 3 years after operation showed no epilepsy seizure in 16 cases,significant improvement in 4 cases and good effect in 2 cases.The total effective rate reached 91.7%(22/26).Conclusion Microsurgical removal of epileptogenic focus is safe and effective in treating patients with intractable temporal lobe epilepsy with less postoperative complications and satisfactory therapeutic effect. |
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| Keywords: | epileptogenic focus microsurgical operation temporal lobe epilepsy |
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