中国医药导报
中国医药期刊欢迎您 今天是   2025年1月6日星期一
设为首页 | 加入收藏 
 
        首 页      期刊介绍      下载中心      关于本刊      投稿指南      期刊订阅      在线留言      广告合作      联系我们      返回中国当代医药网
中国医药导报
  临床医学-神经系统疾病 本期目录 | 过刊浏览 | 高级检索 |
脑皮层电图监测下显微手术治疗耐药性癫痫的效果
李家亮      苗鹏飞      杨全喜      黄琦      刘文祥      沈向辉
河南省商丘市第一人民医院神经外科,河南商丘   476100
Effect of microsurgery in the treatment of drug-resistant epilepsy under the monitoring of electrocorticogram
LI Jialiang   MIAO Pengfei   YANG Quanxi   HUANG Qi   LIU Wenxiang   SHEN Xianghui
Department of Neurosurgery, the First People’s Hospital of Shangqiu, Henan Province, Shangqiu   476100, China
全文: PDF (530 KB)   HTML (1 KB) 
输出: BibTeX | EndNote (RIS)      
摘要 目的 探讨皮层脑电监测下显微手术治疗耐药性癫痫的效果。 方法 对2014年1月至2019年10月于河南省商丘市第一人民医院就诊的30例耐药性癫痫患者的临床资料进行分析。所有患者术中均在脑皮层电图监测下,应用显微外科技术切除致痫灶。术后第1天复查头颅CT,了解颅内有无出血及脑水肿等情况,观察有无癫痫发作及并发症,并监测生命体征。术后随访3个月至5年,按谭氏分类法评价手术效果。 结果 所有患者平均随访(2.78±1.46)年,其中术后发生同向性偏盲1例,占颞叶癫痫手术的6.25%(1/16),无手术死亡、颅内感染、颅内出血、偏瘫、失语等其他并发症发生。手术效果满意22例,显著改善5例,良好3例。 结论 在脑皮层电图监测下应用显微外科技术切除致痫灶是治疗药物难治性癫痫的有效方法。
服务
把本文推荐给朋友
加入我的书架
加入引用管理器
E-mail Alert
RSS
作者相关文章
李家亮 苗鹏飞 杨全喜 黄琦 刘文祥 沈向辉
关键词 耐药性癫痫显微外科手术脑皮层电图监测    
Abstract:Objective To investigate the effect of microsurgery in the treatment of drug-resistant epilepsy under the monitoring of electrocorticogram. Methods Clinical data of 30 patients with drug-resistant epilepsy admitted to the First People’s Hospital of Shangqiu, Henan Province from January 2014 to October 2019 were analyzed. In all patients, the lesions were removed by microsurgical technique under the monitoring of electroencephalogram. Head CT was reviewed on the first day after the operation, to understand the intracranial hemorrhage and cerebral edema, to observe the seizure and complications, and to monitor the vital signs. The postoperative follow-up was from three months to five years, and the results were evaluated by Tan’s classification. Results All the patients were followed up for an average of (2.78±1.46) years. One case of postoperative homohemianopsia occurred, accounting for 6.25% (1/16) of the patients undergoing temporal lobe epilepsy surgery. No surgical death, intracranial infection, intracranial hemorrhage, hemiplegia, aphasia, and other complications occurred. The results were satisfactory in 22 cases, significantly improved in five cases and good in three cases. Conclusion Microsurgical technique under electroencephalogram monitoring is an effective method to treat drug-resistant epilepsy.
Key wordsDrug-refractory epilepsy    Microsurgery    Electrocorticography    Monitoring
    
基金资助:河南省医学科技攻关计划项目(2018020954)。
作者简介: 李家亮(1965.5-),男,硕士,主任医师,河南省商丘市第一人民医院神经外科主任;研究方向:难治性癫痫的外科治疗。
引用本文:   
李家亮 苗鹏飞 杨全喜 黄琦 刘文祥 沈向辉. 脑皮层电图监测下显微手术治疗耐药性癫痫的效果[J]. 中国医药导报, 2021, 18(26): 77-80.
LI Jialiang MIAO Pengfei YANG Quanxi HUANG Qi LIU Wenxiang SHEN Xianghui. Effect of microsurgery in the treatment of drug-resistant epilepsy under the monitoring of electrocorticogram. 中国医药导报, 2021, 18(26): 77-80.
链接本文:  
https://www.yiyaodaobao.com.cn/CN/     或     https://www.yiyaodaobao.com.cn/CN/Y2021/V18/I26/77

 

中华人民共和国互联网药品信息服务资格证书(京)-非经营性-2016-0092
京ICP11001767号-2  京公网安备 11010502046598号  期刊出版许可证 广告经营许可证
信息产业部备案管理系统网址 http://beian.miit.gov.cn/state/outPortal/loginPortal.action
投稿热线:010-59626203
本刊地址:北京市朝阳区东四环中路78号楼(大成国际中心B1座)8B02室 邮编:100124
传真:010-59626204 投稿信箱:ddyy@vip.163.com
版权所有:中文传媒集团北京期刊有限公司
技术支持:北京玛格泰克科技发展有限公司