病变切除联合皮层热灼功能区治疗癫痫疗效分析
蔡山;李玉;杨智勇;龙江;蔡宁
【期刊名称】《昆明医科大学学报》 【年(卷),期】2011(032)008
【摘要】目的 应用皮层热灼术,依据术前、中检测低功率电凝致痫区皮层横行纤维,治疗功能区顽同性癫痫,观察皮层热灼术疗效.方法 34例顽固性癫痫病人,手术切除病变脑组织,皮层脑电图辅助热灼功能及非功能区致痫灶.结果 热灼后的部位呈白色条形轨迹.随访6～18个月,发作完全消失或偶有发作者为58.8%,总有效率为85.3%.术后8例发生一过性功能障碍,治疗后恢复.结论 皮层热灼术作为辅助治疗功能区癫痫的手术方式疗效肯定,并具有安全、易操作等优点.%Objective To investigate the effect of cortex thermo-coagulation on intractable epilepsy by coagulating the horizontal fibres in morbid area. Method 34 patients with intractable epilepsy were treated by resection of morbid brain tissues combined with cortex thermo-coagulation in functional and non-functional area, and their intra-operative electrocorticography (ECoG) was momitored. Results White trace was formed after bipolar coagulation. The patients were followed up 6 ~ 18 months, no seizure was found in 58.8% patients, the total efficiency was 85.3% . 8 patients were found temple dysfunction, and recovered after treatment. Conclusion The cortex thermo-coagulation is a effective way to treat intractable epilepsy, it is safe and easy to operate. 【总页数】4页(85-88)
病变切除联合皮层热灼功能区治疗癫痫疗效分析
