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目的:探讨顽固性癫痫的手术治疗适应证和手术方法的选择。方法:术前应用多导联常规脑电图,术中使用皮层电极和深部电极脑电图明确痫性放电的部位及范围,手术方式有癫痫病灶切除,MST(多处软膜下横切)以及胼胝体前部切开。结果:本组病例共29例,术后无癫痫发作27例,其中12例仍服用少量抗癫痫药物;疗效差或无效2例。结论:严格把握好手术适应证、术前充分准备及合理选用手术方法,是提高顽固性癫痫手术治疗疗效的重要保证。
Objective: To investigate the surgical treatment of refractory epilepsy indications and surgical methods of choice. Methods: Preoperative multi-lead conventional electroencephalography, the use of intraoperative cortical electrodes and deep electrode EEG clear epileptic discharge site and scope of surgery were epileptic lesion resection, MST (multiple transection) As well as the anterior incision of the corpus callosum. Results: A total of 29 cases of this group of patients, no seizures after surgery in 27 cases, of which 12 cases were still taking a small amount of anti-epileptic drugs; poor or ineffective in 2 cases. Conclusion: It is an important guarantee to improve the curative effect of intractable epilepsy surgery to strictly grasp the indication of operation, fully prepare it before operation and reasonably choose operation method.