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脑立体定向手术治疗癫痫的临床分析
引用本文:匡卫平,黄红星,曾其昌,蔡溢.脑立体定向手术治疗癫痫的临床分析[J].立体定向和功能性神经外科杂志,2010(4).
作者姓名:匡卫平  黄红星  曾其昌  蔡溢
作者单位:湖南省脑科医院神外三科;
摘    要:目的探讨立体定向多靶点或痫灶射频毁损术治疗难治性癫痫的效果和安全性。方法采用CT定位、导向下对76例药物治疗无效的难治性癫痫患者进行立体定向多靶点射频术治疗。结果随访时间6~36个月,平均(21.23±4.20)个月,癫痫不发作27例,显著进步31例,进步10例,无效8例,有效率89.47%;术后除早期暂时性并发症外,无远期严重并发症。结论脑立体定向毁损术对痫灶泛发者的多核团毁损;对病灶很小,位置深的致痫灶直接毁损,安全有效。

关 键 词:癫痫  立体定向  射频毁损  

Clinical analysis of the brain stereotactic surgery for the treatment resistant epilepsy
Kuang Weiping,Huang Hongxing,Zeng Qichang,et al..Clinical analysis of the brain stereotactic surgery for the treatment resistant epilepsy[J].Chinese Journal of Stereotactic and Functional Neurosurgery,2010(4).
Authors:Kuang Weiping  Huang Hongxing  Zeng Qichang  
Institution:Kuang Weiping,Huang Hongxing,Zeng Qichang,et al.Hunan Province Brain Hospital,Neurosurgery,Changsha,410007
Abstract:Objective To approach the clinical therapeutic effect and security of stereotactic selective multiple target lesion or radiofrequency ablation for the treatment resistant epilepsy.Methods 76 Patients of resistant epilepsy were scanned position by CT,were treaded with stereotactic selective multiple target lesion or radiofrequency ablation.Results Follow-up visit time was from 6 months to 3 years,the total efficiency was 89.47%,(27patients cured,31patients obviously improved,10 patients improved and 8 patien...
Keywords:Resistant epilepsy  Stereotactic  Radiofrequency ablation  
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