论文部分内容阅读
作者等于１９７５～１９９０年间采用手术治疗顽固性癫痫８２例，其中男５６例，女２６例；年龄５～４９岁。病因明确者５１例（６２．２％），不明确者３１例（３７．８％）。作颞叶前部切除术９例，癫痫灶切除术１０例，胼胝体切开术８例，痫灶切除联合胼胝体切开术８例，立体定向杏仁核或联合靶点毁损术１１例，立体定向胼胝体破坏术８例，立体定向胼胝体联合双侧杏仁核毁损术１０例，大脑半球切除术６例及选择性杏仁－海马切除术２例。随访期一年以上有７３例，结果：明显进步者３９例，进步者２０例，占８０．２％，无效４例。
The author is equal to the surgical treatment of intractable epilepsy in 82 cases between 1975 and 1990, 56 cases were male and 26 females; aged 5 to 49 years. 51 patients (62.2%) had definite etiology, and 31 (37.8%) did not. 9 cases underwent anterior temporal resection, 10 cases underwent epileptic resection, 8 cases underwent corpus callosum incision, 8 cases underwent epileptogenic focus excision combined with corpus callosotomy, 11 cases with stereotactic amygdala or combined target lesion and 3 cases stereotactic Corpus callosum destruction in 8 cases, stereotactic corpus callosum in 10 cases of bilateral amygdala damage, hemispherectomy in 6 cases and selective almond - hippocampus in 2 cases. Follow-up period of more than one year in 73 cases, the results: significantly improved in 39 cases, progressive in 20 cases, accounting for 80.2%, 4 cases.