颞叶癫癎的手术治疗效果分析

Surgical therapeutic effects of operation on temporal lobe epilepsy

目的 评价手术治疗对难治性颞叶癫的疗效。方法 回顾性总结 72例难治性颞叶癫的手术效果。结果 随访 1～ 11年 ,癫疒间发作停止 3 7例 ( 5 1 4%) ,发作频率减少 75 %以上 19例 ( 2 6 4%) ,发作频率减少 5 0 %～ 75 %者 8例( 11 1%) ,效差或无效 8例 ( 11 1%) ,总有效率为 88 9%,无严重并发症及手术死亡。结论 外科手术治疗对药物难治性颞叶癫是一种安全、有效的方法 ;对致疒间

Objective To evaluate the of operative effect on intractable temporal epilepsy. Methods The outcomes of 72 intractable temporal epilepsy patients (treated by surgical operation) were retrospectively analyzed. Results After a follow up of 1 to 11 years, epileptic seizure stopped in 37 cases(51.4%); seizure frequency reduced by more than 75% in 19 cases(26. 4%), ranging from 50% to 75% in 8 cases(11.1%) and no marked change was found in 8 patients (11.9%). The gross efficiency rate was 88.9%. No death and severe complications were found in 72 patients. Conclusion Surgical treatment of drug refractory temporal epilepsy is safe and efficient because of the precise localization of the epileptogenic lesion and focus before complete resection.