CAJ | 학술논문

目的观察在皮层脑电图监测下病灶切除联合皮层癫痫灶热凝术治疗继发性癫痫的临床疗效.方法对23例颅内占位性病变合并继发性癫痫的患者采用皮层脑电图术中监测、病灶切除联合皮层热凝的治疗方法,并随访观察此种联合手术方法对继发性癫痫的控制效果.结果术后全部患者都得到随访,随访时间平均20个月.根据国际癫癫学会的外科手术疗效分级法进行手术效果评价:Ⅰ级14例,Ⅱ级5例,Ⅲ级2例,Ⅳ级2例,有效率(Ⅰ级+Ⅱ级+Ⅲ级)为21/23.结论皮层脑电图监测下行病灶切除联合皮层热凝术治疗继发性癫痫安全且疗效满意.
목적 관찰재피층뇌전도감측하병조절제연합피층전간조열응술치료계발성전간적림상료효.방법 대23례로내점위성병변합병계발성전간적환자채용피층뇌전도술중감측、병조절제연합피층열응적치료방법,병수방관찰차충연합수술방법대계발성전간적공제효과.결과 술후전부환자도득도수방,수방시간평균20개월.근거국제전전학회적외과수술료효분급법진행수술효과평개:Ⅰ급14례,Ⅱ급5례,Ⅲ급2례,Ⅳ급2례,유효솔(Ⅰ급+Ⅱ급+Ⅲ급)위21/23.결론 피층뇌전도감측하행병조절제연합피층열응술치료계발성전간안전차료효만의.
Objective To observe the clinical effects of lesionectomy combined with bipolar coagulation on the cortexes with epileptogenic foci in symptomatic epilepsy. Methods Twenty-three cases of space-occupying lesion complicated by secondary epilepsy were treated by lesionectomy combined with bipolar coagulation under cortical EEG monitoring, and the control rate of epilepsy after operation was studied during the follow-up. Results All cases were followed up for 20 months on average. The clinical success of the treatment was assessed according to the criteria of the International Epilepsy Institute:level Ⅰ 14 cases,levelⅡ5 cases,levelⅢ2 cases,levelⅣ2 cases.The success rates (level Ⅰ,ⅡandⅢ)amounted to 91.3%(21/23). Conclusions Lesionectomy combined with cortex thermocoagulation is safe and effective in the treatment of symptomatic epilepsy.