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目的通过术前、术中脑电监测对癫痫病灶定位,找出适合难治性癫痫的综合手术方法。方法对2002年1月-2004年7月手术的98例难治性癫痫患者进行临床分析。结果术后观察1～2.5年,平均(1.5±0.4)年,癫痫发作消失63例,极少发作10例,仍有癫痫发作但发作减少12例,无效13例,并且综合手术治疗术后副反应发生率并不增加、程度轻且可恢复。结论依据术前脑电监测进行癫痫病灶定位,结合术中皮层电极精确定位,采用多个术式结合的综合手术疗法对于难治性癫痫病人的疗效突出,但术后副反应的发生率与发生程度与单一术式的手术方法相比并无增加。
Objective To locate epilepsy lesions by preoperative and intraoperative EEG monitoring and find out a comprehensive surgical method suitable for refractory epilepsy. Methods Clinical data of 98 patients with refractory epilepsy who underwent surgery from January 2002 to July 2004 were analyzed. Results The postoperative observation of 1-2.5 years, with an average of (1.5 ± 0.4) years, seizure disappeared in 63 cases, seizures in 10 cases, seizures still seizures but 12 cases reduced, ineffective in 13 cases, and comprehensive surgical treatment of postoperative Response rate does not increase, to a lesser extent and recovery. Conclusion According to the preoperative EEG monitoring of epilepsy, combined with precise positioning of intraoperative cortical electrodes, combined with multiple surgical treatment of intractable epilepsy patients with outstanding efficacy, but the incidence of postoperative side effects and occurrence There is no increase in the degree compared with the single surgical procedure.