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目的评价多种手术方法联合使用治疗外伤性癫的效果。方法35例患者根据术前致灶的初步定位和术中皮层脑电及深部电极的监测结果,分别采用以下几种不同的术式:17例行瘢痕及周围皮层切除术(其中3例加胼胝体切开术,4例加MST);11例行前颞叶切除术(其中2例加胼胝体切开术,1例加MST);5例行单纯胼胝体切开术;2例行胼胝体切开+MST。结果术后随访6个月~3年,疗效满意15例(43%),显著改善11例(31%),良好5例(14%),效果较差3例(9%),无改善1例(3%)。3例出现轻偏瘫,经过短期脱水治疗后好转。结论多种手术方法联合治疗创伤后癫安全有效。
Objective To evaluate the efficacy of multiple surgical methods in the treatment of traumatic epilepsy. Methods According to the preliminary location of foci and the monitoring results of intraoperative cortical EEG and deep electrode, 35 cases were treated with the following different procedures: 17 cases of scar and peripheral cortex resection (3 cases with corpus callosum (4 cases plus MST); 11 cases of anterior temporal lobectomy (2 cases with corpus callosotomy, 1 case with MST); 5 cases with simple corpus callosotomy; 2 cases with corpus callosum incision + MST. Results The patients were followed up for 6 months to 3 years. The results were satisfactory in 15 cases (43%), significantly improved in 11 cases (31%), good in 5 cases (14%), poor in 3 cases (9% Example (3%). 3 cases of hemiparesis, after a short-term dehydration treatment improved. Conclusion A variety of surgical methods combined with the treatment of post-traumatic epilepsy is safe and effective.