顽固性颞叶癫痫手术治疗探讨

目的探讨顽固性颞叶癫痫的外科手术治疗特点与效果。方法回顾分析30例顽固性颞叶癫痫患者的临床资料,术前行病灶与致痫灶定位,术中15例行选择性杏仁核、海马切除,15例行病灶切除+标准前颞叶切除。结果术后无严重并发症,随访1～2年,Engel'sⅠ级21例(70%),Ⅱ级6例(20%),Ⅲ级2例(7%),Ⅳ级1例(3%)。结论采用联合术式治疗顽固性颞叶癫痫能达到满意疗效。

Objective To analyze the clinical features and effect the role of surgery in refractory temporal lobe epilepsy.Methods A retrospective analysis of clinical data from 30 patients with refractory temporal lobe epilepsy was performed.The lesions and epileptogenic focus were located before operation in selected cases.The amygdala and hippocampus resection were performed in 15 patients,the excision and standard anterior temporal lobectomy resection were performed in 15 patients.Results No serious complications happened.All patients had 1 to 2 years follow-up,and achieved Engel＇ s I in 21 cases（70%）,II in 6 cases（20%）,III in 6 cases（7%）,IV in 1 cases（3%）.Conclusion The combined surgical treatment of intractable temporal lobe epilepsy can achieve satisfactory results.