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目的探讨难治性癫痫手术治疗方面的相关问题。方法通过对15例难治性癫痫患者的发作症状学分析、视频脑电检查、头颅磁共振检查等手段进行综合分析及术前评估后定位致痫灶,实施手术。术中进行脑电监测直至异常放电明显减少或消失。其中13例患者一次手术完成,2例患者先行埋藏电极后二次手术完成。术后随访半年-2年,了解癫痫发作情况。结果按照Engel分级,Ⅰ级和Ⅱ级视为显效,Ⅲ级为好转,Ⅳ级为无效。本组显效14例(93.3%),好转1例(6.6%),无效0例。结论若选择癫痫病例得当,手术治疗是一种安全、有效的治疗方法。
Objective To investigate the related problems in surgical treatment of refractory epilepsy. Methods Fifteen patients with intractable epilepsy were analyzed by the seizure symptoms, video EEG, and cranial magnetic resonance imaging (MRI). The epileptic foci were located and the operation was performed after the preoperative evaluation. Intraoperative EEG monitoring until abnormal discharge significantly reduced or disappeared. Thirteen patients completed one operation and two patients completed the second operation after burying the electrodes. Follow-up for six months - 2 years to understand the situation of seizures. The results were graded according to Engel. Grade Ⅰ and Ⅱ were regarded as effective, grade Ⅲ as improvement, and grade Ⅳ as invalid. The group markedly effective in 14 cases (93.3%), improved in 1 case (6.6%), 0 cases. Conclusion If epilepsy is selected properly, surgical treatment is a safe and effective treatment.