CAJ | 학술논문

目的探讨颞叶癫痫（TLE）的诊断和治疗方法。方法 1996年至1998年，36例顽固性颞叶癫痫病例依据EEG和MR检查进行定位诊断，其中16例实施前颞叶切除术，另20例接受选择性海马杏仁切除术，分析其近期疗效及随访结果。结果所有患者癫痫得到满意控制，其中手术疗效满意24例；显著11例；良好1例，术后无并发症发生。结论 MR有助于对TLE的定位诊断；手术是治疗顽固性TLE的重要手段，颞叶内侧癫痫病例应选用选择性海马杏仁核切除，采用经颧弓颞底入路使手术更为安全。
목적탐토섭협전간（TLE）적진단화치료방법。 방법 1996년지1998년，36례완고성섭협전간병례의거EEG화MR검사진행정위진단，기중16례실시전섭협절제술，령20례접수선택성해마행인절제술，분석기근기료효급수방결과。 결과소유환자전간득도만의공제，기중수술료효만의24례；현저11례；량호1례，술후무병발증발생。 결론 MR유조우대TLE적정위진단；수술시치료완고성TLE적중요수단，섭협내측전간병례응선용선택성해마행인핵절제，채용경권궁섭저입로사수술경위안전。
Objective　To discuss the diagnosis and surgical treatment of temporal lobe epilepsy. Methods　From 1996 to 1998, 36 patients presenting with medically intractable temporal lobe epilepsy were identified by EEG and MR, including volumetric MR, for hippocampal formation. Among them, 16 patients underwent anterior temporal lobectomy, while 20 patients accepted selective amygdalohippocampectomy. The results of surgical operation and follow-up are analyzed. Results　With respect to seizure outcome, all patients benefited from surgery. The surgical results were satisfactory in 24 cases, notable in 11 cases, and good in 1 case, and there were no complications. Conclusion　MR is beneficial for the localization of epileptic foci. Surgery is an effective method for the treatment of temporal lobe epilepsy; selective amygdalohippocampectomy is the first choice for medial temporal lobe epilepsy. The transzygmatic-temporal lobe base approach presented in this study improved the safety of the surgery.