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癫痫的外科治疗(附82例报告)

SURGERY FOR EPILEPSY

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【作者】 江澄川孙国华蒋大介史玉泉瞿治平

【Author】 Jiang Cheng-chuan, et al Institute of Neurology,Shanghai Medical University. Shanghai 200040

【机构】 上海医科大学神经病学研究所

【摘要】 作者等于1975~1990年间采用手术治疗顽固性癫痫82例,其中男56例,女26例;年龄5~49岁。病因明确者51例(62.2%),不明确者31例(37.8%)。作颞叶前部切除术9例,癫痫灶切除术10例,胼胝体切开术8例,痫灶切除联合胼胝体切开术8例,立体定向杏仁核或联合靶点毁损术11例,立体定向胼胝体破坏术8例,立体定向胼胝体联合双侧杏仁核毁损术10例,大脑半球切除术6例及选择性杏仁-海马切除术2例。随访期一年以上有73例,结果:明显进步者39例,进步者20例,占80.2%,无效4例。

【Abstract】 From 1975 to 1990,82 cases of intractable epilepsy were treated surgically. Therewere 56 males and 27 females. The age of patients ranged from 5 to 49 years old. Thecauses of epilepsy could be traced in 51 patients(62.2%).The surgical approachsadapted in this series included temporal lobectomy in 9 eases ,resection of epilepto-genic focus in 10 cases,callosotomy in 18 cases, resection of epileptogenic focus com-bined with callosotomy in 8 cases,stereotaxic amygdalotomy or combined targets ele-ctrocoagulation in 11 cases,stereotaxic callosotomy in 8 cases,stereotaxic callosotomycombined with amygdalotomy in cases, hemispherectomy in 6 cases and selective amy-gdalohippocampectomy in 2 cases.Postoperatively,73 cases were followed up more than1 years,the therapeutic results were as follows :markedly improvement in 39 cases(53.4%)and improvement in 20 cases (27.4%) ,ineffective in 1 case.

【关键词】 癫痫手术治疗
【Key words】 Fpilepsy,Lobectomy,Callsotomy
  • 【文献出处】 上海医学 ,SHANGHAI MEDICAL JOURNAL , 编辑部邮箱 ,1994年11期
  • 【分类号】R742.1
  • 【下载频次】33
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