显微切除痫灶治疗颞叶顽固性癫痫的疗效分析
癫痫灶；显微外科手术；颞叶癫痫,,癫痫灶；显微外科手术；颞叶癫痫,1临床资料,2结果,3讨论,参考文献：
【摘要】 目的 总结显微切除痫灶治疗颞叶顽固性癫痫的临床疗效。方法 颞叶顽固性癫痫24例，手术采用改良翼点入路切口，运用良好的显微外科技术，将癫痫灶切除。结果 术后随访半年至3年，16例癫痫发作完全消失，4例术后较术前显著改善，2例术后效果良好，手术总有效率917%(22/26)。结论 根据脑电监测范围显微切除痫灶治疗颞叶顽固性癫痫是安全、有效的手术方式，辅以综合治疗术后并发症少，疗效满意。【关键词】 癫痫灶；显微外科手术；颞叶癫痫
Curative Effect Analysis of Microsurgical Removal of Epileptogenic
Focus in the Treatment for Patients with Intractable Tempoal Lobe Epilepsy
QI Hongwu，WANG Zhenggang，ZHANG Weining，ZHANG Xudong，FAN Fengshi，CHENG Jianye，WANG Shuai，ZHAO Yapeng，Bethune International Peace Hospital，Shijiazhuang，Hebei Province，050082
ABSTRACT Objective To discuss the curative effect of microsurgical removal of epileptogenic focus in the treatment for patients with intractable temporal lobe epilepsy(TLE)Methods 24 patients with intractable temporal lobe epilepsy were operated via modified pterional approach with good microsurgical technique and the epileptogenic focuses were removedResults The followup from half year to 3 years after operation showed no epilepsy seizure in 16 cases，significant improvement in 4 cases and good effect in 2 casesThe total effective rate reached 917%(22/26)Conclusion Microsurgical removal of epileptogenic focus is safe and effective in treating patients with intractable temporal lobe epilepsy with less postoperative complications and satisfactory therapeutic effect ......
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