CAJ | 학술논문

目的探讨外伤性癫痫的致痫灶定位和手术方式选择. 方法回顾性分析21例外伤性癫痫患者的临床资料,术前均行神经电生理学和神经影像学检查,结合临床表现综合定位致痫灶.采用病灶及周围皮层切除术12例,致痫灶切除加低功率皮层热灼术5例,前颞叶切除加杏仁核和大部分海马切除术3例,胼胝体切开术1例. 结果经6个月～3年的随访,满意8例,显著改善6例,良好5例,效差2例,总有效率90%. 结论外科手术是治疗难治性外伤性癫痫的一种重要方法,疗效取决于致痫灶的准确定位和多种手术方式的联合应用.
목적 탐토외상성전간적치간조정위화수술방식선택. 방법 회고성분석21예외상성전간환자적림상자료,술전균행신경전생이학화신경영상학검사,결합림상표현종합정위치간조.채용병조급주위피층절제술12례,치간조절제가저공솔피층열작술5례,전섭협절제가행인핵화대부분해마절제술3례,변지체절개술1례. 결과 경6개월～3년적수방,만의8례,현저개선6례,량호5례,효차2례,총유효솔90%. 결론 외과수술시치료난치성외상성전간적일충중요방법,료효취결우치간조적준학정위화다충수술방식적연합응용.
Objective To explore the localization of epileptogenic focus and select the appropriate surgical procedures for post-traumatic epilepsy. Methods The clinical data of 21 patients with post-traumatic epilepsy were studied retrospectively. Epileptogenic focus was located by comprehensively analyzing data of electro-neurophysiology, neurological imaging and clinical manifestation. Surgical procedures were performed in all patients, including resection of lesion and peripheral cortex in 12 patients, epileptogenie focus resection plus low power bipolar coagulation in five, anterior temporal iobectomy plus amygdalohippocampectomy in three and corpus callosotomy in one. Results All patients were followed up from 6 months to 3 years, which showed satisfactory outcome in eight patients, marked improvement in six, improvement in five and slight improvement in two. The total effective rate was 90%. Conclusions Surgical procedure is important for intractable post-traumatic epilepsy. The good efficacy depends on precise localization of epileptogenic focus and combined application of various surgical procedures.