中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2015年
7期
31-32
,共2页
颅脑外伤%癫痫%常规病灶切除%标准前颞叶切除术%疗效
顱腦外傷%癲癇%常規病竈切除%標準前顳葉切除術%療效
로뇌외상%전간%상규병조절제%표준전섭협절제술%료효
Craniocerebral trauma%Epilepsy%Excision%Standared anterior temporal lobectomy%Efficacy
目的 观察颅脑外伤继发顽固性癫痫患者经常规病灶切除术后行标准前颞叶切除术治疗的临床效果.方法 选择2012年9月至2013年10月安阳市人民医院神经外科收治的80例颅脑外伤继发顽固性癫痫患者为研究对象,按照随机数字表法将其分为实验组与对照组,每组40例,两组患者均接受常规病灶切除术处理,实验组在此基础上行标准前颞叶切除术.术后进行至少半年的随访,对两组手术治疗效果进行评估.结果 与对照组相比,实验组治疗显效率以及总有效率更高,差异有统计学意义(P＜0.05).结论 对于颅脑外伤继发顽固性癫痫患者而言,在常规病灶切除术基础上实施标准前颞叶切除术与单纯切除病灶相比效果更优,临床应予以推广和使用.
目的 觀察顱腦外傷繼髮頑固性癲癇患者經常規病竈切除術後行標準前顳葉切除術治療的臨床效果.方法 選擇2012年9月至2013年10月安暘市人民醫院神經外科收治的80例顱腦外傷繼髮頑固性癲癇患者為研究對象,按照隨機數字錶法將其分為實驗組與對照組,每組40例,兩組患者均接受常規病竈切除術處理,實驗組在此基礎上行標準前顳葉切除術.術後進行至少半年的隨訪,對兩組手術治療效果進行評估.結果 與對照組相比,實驗組治療顯效率以及總有效率更高,差異有統計學意義(P＜0.05).結論 對于顱腦外傷繼髮頑固性癲癇患者而言,在常規病竈切除術基礎上實施標準前顳葉切除術與單純切除病竈相比效果更優,臨床應予以推廣和使用.
목적 관찰로뇌외상계발완고성전간환자경상규병조절제술후행표준전섭협절제술치료적림상효과.방법 선택2012년9월지2013년10월안양시인민의원신경외과수치적80례로뇌외상계발완고성전간환자위연구대상,안조수궤수자표법장기분위실험조여대조조,매조40례,량조환자균접수상규병조절제술처리,실험조재차기출상행표준전섭협절제술.술후진행지소반년적수방,대량조수술치료효과진행평고.결과 여대조조상비,실험조치료현효솔이급총유효솔경고,차이유통계학의의(P＜0.05).결론 대우로뇌외상계발완고성전간환자이언,재상규병조절제술기출상실시표준전섭협절제술여단순절제병조상비효과경우,림상응여이추엄화사용.
Objective To observe the effect of anterior temporal lobectomy combined with conventional lesionectomy on secondary intractable epilepsy with craniocerebral trauma.Methods Eighty patients with secondary intractable epilepsy with craniocerebral trauma who were admitted in the people' s hospital of Anyang from September 2012 to October 2013 were selected and randomly divided into experimental group and control group(40 cases in each group).All patients were treated with conventional lesionectomy and the experimental group was treated with the standard anterior temporal lobectomy on this basis.The treatment effects of two groups were assessed for six months follow-up or longer.Results Compared with the control group,the experimental group had higher efficiency total efficiency and the differences were significant (P ＜ 0.05).Conclusions For patients of secondary intractable epilepsy with craniocerebral trauma,anterior temporal lobectomy combined with conventional lesionectomy will be more effective than conventional lesionectomy merely,therefore it is suggested to be promoted in clinic.
