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本文报告２１０例顽固性癫痫手术治疗中脑皮质电极的应用情况，其中胼胝体前２／３切开加额叶切除１５例，术前探查均为广泛爆发棘慢波，术后恢复正常１２例，残余单个尖波３例；大脑凸面功能区痫灶多软膜下横切术８４例（左３０例，右４４例），７９例术后棘波消失，５例明显减少；颞叶切除５６例（左３０例，右２６例），其中２０例行单纯前颞叶及海马杏仁核切除，３６例在切除后对额叶新皮质痫灶行多软膜下横切术，术后棘波灶全部消失，术后随访６～６０个月，癫痫发作消失１１０例（６８．７％）；减少５０％以上８２例（２０％）；由大发作转为小发作１１例（７％）；无变化７例（４．８％），总有效率为９５．７％，结果表明应用皮层电极术中确定痫灶范围，对指导手术治疗极有价值
This article reports 210 cases of refractory epilepsy surgery in the application of cortical electrodes, including the corpus callosum before 2/3 cut plus frontal resection in 15 cases, preoperative exploration were widely spikes and waves, returned to normal in 12 cases, Residual single spikes in 3 cases; functional area of the brain ecchymosis multi-subdural transection of 84 cases (left 30 cases, right 44 cases), 79 cases disappeared after spikes, 5 cases significantly reduced; 56 cases of temporal lobe resection (Left 30 cases, right 26 cases), of which 20 cases of simple anterior temporal lobe and hippocampus almond excision, 36 cases of resection of the frontal cortex epilepsy line underwent subretinal transthoracic surgery, postoperative spikes All disappeared. The patients were followed up for 6 to 60 months. Seizures disappeared in 110 cases (68.7%). More than 50% decreased in 82 cases (20%). Outbreaks were made into small attacks in 11 cases (7%). Changes in 7 cases (4.8%), the total effective rate was 95.7%, the results show that the use of cortical electrodes to determine the scope of epileptic foci, the guidance of surgical treatment of great value