皮质电极脑电监测在致痫性胶质瘤术中的应用效果(1)
[摘要]目的 探討皮质电极脑电监测在致痫性胶质瘤术中的应用效果。方法 选取2013年2月～2016年2月来我就诊的致痫性胶质瘤患者60例，按照随机数字表法将所有患者分为观察组、对照组，每组30例。观察组经CT确定病灶位置的同时采用皮质电极脑电监测切除肿瘤，对照组单纯采用CT确诊病灶并切除肿瘤。对所有患者进行术后癫痫发作的随访追踪调查，详细记录两组患者的病情变化情况，并对结果进行统计处理。结果 观察组行肿瘤全切除、近全切除、大部分切除率为60.00%、30.00%、10.00%，对照组分别为20.00%、26.67%、53.33%，两组比较，差异有统计学意义(P<0.05)。治疗后1年内，观察组Engel分级情况：Ⅰ级7例，Ⅱ级14例，Ⅲ级8例，Ⅳ级1例；对照组分别为2、6、2、20例，两组的Engel分级情况比较，差异有统计学意义(P<0.05)。结论 皮质电极脑电监测可明显确定致痫病灶部位，对术中准确切除病灶、提高手术治疗效果和改善预后、减轻患者症状、降低术后复发率均有很高的应用价值。
[关键词]皮质电极脑电监测；致痫性胶质瘤；应用效果
[中图分类号] R742.1 [文献标识码] A [文章编号] 1674-4721(2016)12(c)-0036-03
Application effect of cortical electrode EEG monitoring in glioma induced by epilepsy operation
HU Shan
Department of Neurosurgery，General Hospital of Ping Mine in Jiangxi Province，Pingxiang 337000，China
[Abstract]Objective To investigate the application effect of cortical electrode EEG monitoring in glioma induced by epilepsy operation.Methods 60 patients with glioma induced by epilepsy treated by our hospital from February 2013 to February 2016 were selected and they were divided into the observation group (n=30) and control group (n=30).In the observation group，CT applied to determine the location of lesions while using cortical electrode EEG monitoring to resect tumor，while in the control group CT applied simply to determine the location of lesions to resect tumor，and all patients were followed up for investigation of epilepsy attack to record in detail the change of disease in the two groups，and the result was analyzed statistically.Results The total resection，near total resection and most resection of the tumor in the observation group was 60.00%，30.00%，10.00% respectively，and it was 20.00%， 26.67%， 53.33% respectively in the control group，and the difference between the two groups was statistically significant (P<0.05).Within 1 years after treatment，Engel classification in the observation group：7 cases for grade Ⅰ， 14 cases for grade Ⅱ，8 cases for grade Ⅲ，1 case for grad Ⅳ，and it was 2，6，2，20 cases in the control group were，and the difference of Engel grade was statistically significant between two group (P<0.05).Conclusion Cortical electrode EEG monitoring has a very high application value for significantly determine the epileptogenic lesion，accurate resection of lesion during surgery，improving the effect of surgical treatment and improving the prognosis，reducing the symptoms of patients，and reducing the postoperative recurrence rate.
[Key words]Cortical electrode EEG monitoring；Glioma induced by epilepsy；Application effect (胡珊)
[关键词]皮质电极脑电监测；致痫性胶质瘤；应用效果
[中图分类号] R742.1 [文献标识码] A [文章编号] 1674-4721(2016)12(c)-0036-03
Application effect of cortical electrode EEG monitoring in glioma induced by epilepsy operation
HU Shan
Department of Neurosurgery，General Hospital of Ping Mine in Jiangxi Province，Pingxiang 337000，China
[Abstract]Objective To investigate the application effect of cortical electrode EEG monitoring in glioma induced by epilepsy operation.Methods 60 patients with glioma induced by epilepsy treated by our hospital from February 2013 to February 2016 were selected and they were divided into the observation group (n=30) and control group (n=30).In the observation group，CT applied to determine the location of lesions while using cortical electrode EEG monitoring to resect tumor，while in the control group CT applied simply to determine the location of lesions to resect tumor，and all patients were followed up for investigation of epilepsy attack to record in detail the change of disease in the two groups，and the result was analyzed statistically.Results The total resection，near total resection and most resection of the tumor in the observation group was 60.00%，30.00%，10.00% respectively，and it was 20.00%， 26.67%， 53.33% respectively in the control group，and the difference between the two groups was statistically significant (P<0.05).Within 1 years after treatment，Engel classification in the observation group：7 cases for grade Ⅰ， 14 cases for grade Ⅱ，8 cases for grade Ⅲ，1 case for grad Ⅳ，and it was 2，6，2，20 cases in the control group were，and the difference of Engel grade was statistically significant between two group (P<0.05).Conclusion Cortical electrode EEG monitoring has a very high application value for significantly determine the epileptogenic lesion，accurate resection of lesion during surgery，improving the effect of surgical treatment and improving the prognosis，reducing the symptoms of patients，and reducing the postoperative recurrence rate.
[Key words]Cortical electrode EEG monitoring；Glioma induced by epilepsy；Application effect (胡珊)