CAJ | 학술논문

目的：分析大脑半球解剖改良切除术治疗顽固性癫痫的临床疗效。方法对2008-03至2013-12在武警北京总队医院的12例顽固性癫痫患者行大脑半球解剖改良切除术，并对其结果进行追踪随访。结果12例术后癫痫发作均得到有效控制，术后无发作达到EngelⅠ级11例（92％），Ⅱ级1例（8％）。所有患者术后随访神经功能缺失症状无明显加重，行为异常均得到不同程度的改善，未出现明显并发症。结论对大脑半球一侧广泛病变伴有顽固性癫痫的患者，行大脑半球解剖改良的切除术，可以有效控制癫痫发作并明显改善预后。
목적：분석대뇌반구해부개량절제술치료완고성전간적림상료효。방법대2008-03지2013-12재무경북경총대의원적12례완고성전간환자행대뇌반구해부개량절제술，병대기결과진행추종수방。결과12례술후전간발작균득도유효공제，술후무발작체도EngelⅠ급11례（92％），Ⅱ급1례（8％）。소유환자술후수방신경공능결실증상무명현가중，행위이상균득도불동정도적개선，미출현명현병발증。결론대대뇌반구일측엄범병변반유완고성전간적환자，행대뇌반구해부개량적절제술，가이유효공제전간발작병명현개선예후。
Objective To study the clinical effectiveness of improved anatomy hemispherectomy for patients with intractable epilepsy.Methods Twelve patients with intractable epilepsy were treated by improved anatomy hemispherectomy .Their clinical re-sults were followedup after operation .Results 12 cases obtained improvement of abnormal behavior , and no significant exacerbation of neurological deficits was observed .During the follow-up, 11 cases attained Engel Ⅰ(92%) and 1 EngelⅡ(8%).No long-term com-plication was observed .Conclusions For the patients with intractable epilepsy with hemosphere extensive lesions , improved anatomy hemispherectomy can effectively control seizures and obviously improve the prognosis .