外科治疗海马硬化型颞叶内侧癫痫的临床疗效分析

Analysis of effect of medial temporal lobe epilepsy with hippocampal sclerosis treated by selective amygdalohippocampectomy

目的观察选择性杏仁核海马切除术治疗海马硬化型颞叶内侧癫痫的术后疗效。方法 31例术前诊断为海马硬化型颞叶内侧癫痫的患者,在术中皮层电极检测下,行选择性杏仁核海马切除术。结果术后病理诊断均为海马硬化,采用Engal分级分析术后疗效,显效率为83.87%,术后均无严重并发症。结论明确诊断、精确定位海马硬化型癫痫病灶后,选用选择性杏仁核海马切除术治疗颞叶内侧癫痫疗效确切。

[ Objective ] To observe the operative effect of hippocampal sclerosis to selective amygdalohippocampeetomy. [Methods] 31 patients diagnosed as hippocampal sclerosis epilepsy were treated by selective amygdalohippocampectomy under the cortical electrode monitoring in our department from May 2007 to 2013. [Results] In all cases, the hippocampal sclerosis epilepsy was confirmed by postoperative pathological diagnosis, and Engel classification were applied to evaluate the effect. The following-up visit showed that the markedly effective rate was 83.87%. There had no significant postoperative complications. [Conclusion] With clear diagnose and precise positioning, the effect of selective amygdalohippoeampectomy apply for hippocampal sclerosis epilepsy perfectly, it is worthy of clinical.