摘要
目的探讨药物难治性癫痫的外科治疗的手术要点和效果。方法回顾性分析药物难治性癫痫患者26例资料。依据术前临床表现、影像学、脑电图等资料制定个性化手术方案,术后服用丙戊酸钠片;按Engel′s标准评判癫痫发作控制情况来评定手术效果。结果术后随访3-24个月结果:Engel′sⅠ级15例(57.7%),Ⅱ级7例(26.9%),Ⅲ级3例(11.5%),Ⅳ级1例(3.8%),总有效率达84.6%。结论制定个性化手术方案可以使药物难治性癫痫获得满意疗效。
Objective To summarize the outcomes of surgical treatment for drug-resistant epilepsy. Methods Data of 26 epileptic patients were retrospectively analyzed, who were refractoryto medications. An individualized surgical treatment was performed on the basis of clinical manifestations, imaging and EEG examinations. The outcomes were evaluated with Engellsclassification. Results The patients were followed up for 3 to 24 months,which showed Engel′sⅠ in 15（57.7%） eases,Engel′sⅡ in 7（26.9%） eases,Engel′s Ⅲ in 3（11.5%） eases, Engel＇s Ⅳ in 1（3.8%） case. The total effectiveness rate was 84. 6%. Conclusion The outcomes of surgical treatment for drug-resistant epilepsy are satisfactory as long as the operative regime is made accordingto the individualized localization of the lesions and the condition of the patient.
出处
《江苏医药》
CAS
北大核心
2013年第6期660-661,共2页
Jiangsu Medical Journal
关键词
药物难治性癫痫
外科治疗
Drug-resistant epilepsy
Surgical treatment
