癫痫的外科治疗：附82例报告

作者等于１９７５－１９９０年间采用手术治疗顽固性癫痫８２例，其中男５６例，女２６例；年龄５－４９岁。病因明确者５１例（６２．２％），不明确者３１例（３７．８％）。作颞叶前部切除术９例，癫痫灶切除术１０例，胼胝体切开术８例，痫灶切除联合胼胝体切开术８例，立体定向杏仁核或联合靶点毁损术１１例，立体定向胼胝体破坏术８例，立体定向胼胝体联合双侧杏仁核毁损术１０例，大脑半球切除术６例及选择性杏仁－海马切除术

SURGERY FOR EPILEPSY

From 1975 to 1990,82 cases of intractable epilepsy were treated surgically. Therewere 56 males and 27 females. The age of patients ranged from 5 to 49 years old. Thecauses of epilepsy could be traced in 51 patients(62.2%).The surgical approachsadapted in this series included temporal lobectomy in 9 eases ,resection of epilepto-genic focus in 10 cases,callosotomy in 18 cases, resection of epileptogenic focus com-bined with callosotomy in 8 cases,stereotaxic amygdalotomy or combined targets ele-ctrocoagulation in 11 cases,stereotaxic callosotomy in 8 cases,stereotaxic callosotomycombined with amygdalotomy in cases, hemispherectomy in 6 cases and selective amy-gdalohippocampectomy in 2 cases.Postoperatively,73 cases were followed up more than1 years,the therapeutic results were as follows :markedly improvement in 39 cases(53.4%)and improvement in 20 cases (27.4%) ,ineffective in 1 case.