CAJ | 학술논문

目的探讨手术治疗颞叶癫痫的效果.方法对2010年3月至2013年3月解放军第153中心医院神经外科收治的76例颞叶癫痫患者的病史、发病特点、手术类型、术后发作等临床资料进行回顾性分析.术后进行6个月、1年、3年随访疗效.结果术后6个月治疗有效率为64.5％,而术后1、3年有效率分别达到71.0％和72.4％,术后6个月疗效与术后1、3年疗效差异比较有统计学意义(P＜0.05).术后随访4例发生明显并发症,并发症发生率为5.3％.结论外科手术是治疗颞叶癫痫的有效手段.术前有效评估,术中脑电图精确定位,采取联合术式治疗颞叶癫痫疗效确切,值得推广应用.
목적 탐토수술치료섭협전간적효과.방법 대2010년3월지2013년3월해방군제153중심의원신경외과수치적76례섭협전간환자적병사、발병특점、수술류형、술후발작등림상자료진행회고성분석.술후진행6개월、1년、3년수방료효.결과 술후6개월치료유효솔위64.5％,이술후1、3년유효솔분별체도71.0％화72.4％,술후6개월료효여술후1、3년료효차이비교유통계학의의(P＜0.05).술후수방4례발생명현병발증,병발증발생솔위5.3％.결론 외과수술시치료섭협전간적유효수단.술전유효평고,술중뇌전도정학정위,채취연합술식치료섭협전간료효학절,치득추엄응용.
Objective To investigate the effect of surgical treatment of temporal lobe epilepsy.Methods The clinical data such as medical history,disease characteristics,type of surgery,and postoperative episodes of 76 patients with temporal lobe epilepsy from March 2010 to March 2013 in NO.153 center hospital of PLA were retrospectively analyzed.The clinical effects were observed after 6 months,1 year and 3 years followed-up.Results The treatment effective rate was 64.5％ after 6 months followed-up,while the 1-year and 3-year efficiency reached 71.0％ and 72.4％,the differences were significant(P ＜0.05).Complications occurred in 4 cases during the follow up period,the complication rate was 5.3％.Conclusions Surgical treatment is an effective means of temporal lobe epilepsy.Effective preoperative assessment,intraoperative EEG precise positioning,joint surgical treatment of temporal lobe epilepsy is effective,and is worthy to be bewidely applied.