癫外科手术选择标准的探讨

Research of criterion for epileptic surgery

目的探讨癫疒间外科手术选择的标准。方法总结1000例癫疒间外科门诊病人和120例癫疒间术后获长期随访病人的临床资料,分析癫疒间手术的必要性和可行性,制定手术标准评分表。结果手术选择评分标准0￣18分,其中包括危害性、影像检查情况各0￣4分,脑电(磁)图检查情况、年龄各0￣3分,病程、用药情况各0￣2分。总分≥12分者适合手术,分数在7￣11分者如果病人及家属有强烈的手术愿望可以手术治疗,分数低于7分者不考虑手术。结论本癫疒间外科手术标准包括了癫疒间手术的各种影响因素,具有较强的实用性。

Objective To explore the criteria for epileptic surgery （ES）. Methods The clinical data of 1,000 out-patient and 120 post-operative and follow-up patients after ES were summarized to analyze the essentiality and feasibility of ES, and set up a scale for surgical criteria. Results The sum scores for operation criterion were designed from 0 to 18, including perniciousness （0-4）, examination of image （0-4）, EEG/MEG examination （0-3）, age （0-3）, disease course （0-2） and medical treatment （0-2）. The patient will be regarded as suitable for ES if the score is ≥ 12, unsuitable if the score is less than 7, and can be arranged to ES if the scores are 7 to 11 and the patient and his relatives have a strong desire for ES. Conclusion These criteria involve main influential factors for ES, with a higher practicability.