| 经颞下回-侧脑室入路选择性海马杏仁核切除术治疗内侧颞叶癫痫 |
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| 引用本文： | 杨朋范,魏梁锋,赵琳,梅珍,黄茂,王如密.经颞下回-侧脑室入路选择性海马杏仁核切除术治疗内侧颞叶癫痫[J].福州总医院学报,2009,16(1). |
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| 作者姓名： | 杨朋范 魏梁锋 赵琳 梅珍 黄茂 王如密 |
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| 作者单位： | 福州总医院神经外科 |
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| 摘 要： | 目的：探讨经颞下回-侧脑室入路选择性杏仁核海马切除术治疗内侧颞叶癫痫的手术方法、疗效及并发症。方法：确诊为药物难治性内侧颞叶癫痫的62例患者，经颞部锁孔开颅，切除中前段颞下回，进入颞角前外侧区，选择性切除杏仁核海马及海马旁回等内侧颞叶结构。结果：62例患者术后随访至少2年时间（24—80个月）。无严重手术并发症，45例（72．6％）发作完全消失（EngelⅠ级）。结论：经颞下回侧脑室入路选择性杏仁核海马切除术是治疗内侧颞叶癫痫的有效方法，手术创伤小，可妥善保护语言区和视放射。安全性高。
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| 关 键 词： | 选择性杏仁核海马切除术 颞下回 内侧颞叶癫痫 |
Selective amygdalohippocampectomy via the inferior temporal gyrus approach for the treatment of mesial temporal lobe epilepsy |
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| Yang Pengfan,Wei Liangfeng,Zhao Lin,et al..Selective amygdalohippocampectomy via the inferior temporal gyrus approach for the treatment of mesial temporal lobe epilepsy[J].Journal of Fuzhou Genenal Hospital,2009,16(1). |
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| Authors: | Yang Pengfan Wei Liangfeng Zhao Lin |
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| Institution: | Yang Pengfan,Wei Liangfeng,Zhao Lin,et al. Epilepsy Center,Department ofneurosurgery,Fuzhou General Hospital of Nanjing Military Area Command,Fuzhou,350025,China |
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| Abstract: | Objective:To explore the surgical skills,curative effects and complications of selective amygdalohippocampectomy via the inferior temporal gyrus approach for the treatment of mesial temporal lobe epilepsy(MTLE).Method:Sixty-two patients with medically intractable MTLE underwent a selective amygdalohippocampectomy through a small linear operation route from the small temporal craniotomy,anterior-middle segments of the inferior temporal gyrus to the anterolateral floor of the temporal horn in the lateral vent... |
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| Keywords: | Selective amygdalohippocampectomy Iinferior temporal gyrus Mesial temporal lobe epilepsy |
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