术中皮层脑电图在伴发癫痫脑肿瘤应用的预后效果

Efficacy of intraoperative electrocorticography monitoring for assessing seizure outcomes in epilepsy patients undergoing brain tumor resection

目的探讨术中皮层脑电图监测对伴发癫痫的脑肿瘤患者术后预后效果。方法回顾性分析64例伴有癫痫症状的脑肿瘤患者术后的癫痫控制情况,36例术中应用皮层脑电图监测,28例仅行肿瘤全切除术。64例患者中仅有1例未在显微镜下切除,该例患者在非术中脑电图监测组。效果评价应用Engle分级,结果应用SPSS15.0软件进行分析和Wilcoxon秩和检验。结果术中应用皮层脑电图监测组治疗与对照组的效果经统计学软件分析有统计学意义。结论术中皮层脑电图监测可以提高伴发癫痫脑肿瘤患者术后癫痫控制的有效率。

Objective To explore the efficacy of iutraoperative electrocorticography monitoring for assessing seizure controlling outcomes in epilepsy patients undergoing brain tumor resection. Methods The efficacy of seizure coatrolling were analyzed in 64 epilepsy cases who undergoing brain tumor resection respectively. Intraoperative electrocorticogram （ECoG） mornitoring were used in 36 cases . In 28 cases, the brain tumor were completely resected without ECoG monitoring. One in sixty - four cases, microscop was not used . The case belonged to the control group. Engel degree was used in evaluating the effecacy. Results were analyzed using SPSS15.0 software and Wilcoxon signed rank test. Results Efficacy of seizure controlling outcomes had significant different. Conclusion Intraoperative electrocorticogram monitoring is shown to be an effective technique in improving the efficacy of epilepsy controlling.