立体定向手术治疗顽固性癫痫(附28例报告)

Treatmeat of the intractable epilepsy by stereotactic operations

报道我科近十年采用立体定向手术治疗顽固性癫痫28例,其中男20例,女8例。年龄5～49岁,病因较明确者17例。手术方法分1.立体定向杏仁核或联合靶点毁损术11例;2.立体定向胼胝体前部毁损术8例;3.立体定向胼胝体联合双侧杏仁核毁损术9例。平均随访4.2年,显着进步者11例,进步者11例,占78.6％。文章叙述了不同手术的方法及其指征,讨论了靶点与疗效的关系。

From March 1978 to September 1988, 28 cases of intractable epilepsy were treated by stereotactic procedures. There were 20 males and 8 females. The age of patients ranged from 5 to 49 years. The cause of epilepsy could be traced in 17 cases. The surgical approachs adapted in this series including stereotactic amygdalotomy or combined targets electrocoagulation in 11 cases, stereotactic callosotomy in 8 cases and stereotactic callosotomy combined amygdalotomy in 9 cases. The average follow-up period had been 4.2 years. The therapeutic results were as fillow: markedly improvement in 11 cases, improvement in 11 cases, irteffective in 1 case. This paper describes various operative methods and their indications. The relation between targets and therapeutic results is also discussed.