CAJ | 학술논문

　　目的总结经18F-FDG - PET 显像定位后行颞叶致痫灶切除术的68例顽固性癫痫患者的围手术期护理经验，探讨最佳的护理经验。方法68例顽固性癫痫患者于术前行系统检查，确定致痫灶位于颞叶前部。术中应用皮层及深部电极证实致痫灶，予与切除。仔细分析术前及术后的护理方法，总结出最有效的护理措施。结果经过严密的监护、精心的护理和恰当的治疗，所有患者得到了顺利的康复，无严重并发症出现。结论 PET 辅助定位可大大提高癫痫灶定位的准确性，可提高手术的成功率，精心的术前护理准备，严密的术后观察是减少术后并发症的发生，保证手术成功的重要环节。
　　목적총결경18F-FDG - PET 현상정위후행섭협치간조절제술적68례완고성전간환자적위수술기호리경험，탐토최가적호리경험。방법68례완고성전간환자우술전행계통검사，학정치간조위우섭협전부。술중응용피층급심부전겁증실치간조，여여절제。자세분석술전급술후적호리방법，총결출최유효적호리조시。결과경과엄밀적감호、정심적호리화흡당적치료，소유환자득도료순리적강복，무엄중병발증출현。결론 PET 보조정위가대대제고전간조정위적준학성，가제고수술적성공솔，정심적술전호리준비，엄밀적술후관찰시감소술후병발증적발생，보증수술성공적중요배절。
Objective To summarize the peri-operative nursing experience in 68 temporal epilepsy patients which were localized with 18F-FDG–PET. Methods Sixty-eight temporal epilepsy patients whose epileptogenic focus was localized with systematic examination, during the operating, EEG monitoring with cortical and depth electrode recordings was performed. Analyze the preoperative and postoperative nursing methods, and find out the best method. Results All the patients recovered nicely, no one has severe complications. Conclusion PET is an efficient tools for localization of epileptogenic before temporal lobe epilepsy surgery, sufficient preoperative nursing and carefully postoperative nursing is the crux to decrease the complications.