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目的调查药物难治性颞叶癫痫术后患者生活质量的改善情况,评估手术对该类患者生活质量的影响。方法将自理能力、学习能力、工作能力、经济收入四个指标作为生活质量的评定标准,对比168例药物难治性颞叶癫痫患者手术前后生活质量的变化,并进行统计学分析。结果 168例药物难治性颞叶癫痫患者经过严格的术前评估均行前颞叶切除,随访1-3年,术后生活质量较术前明显改善,有统计学意义。结论药物难治性颞叶癫痫患者术后生活质量明显改善,手术显示出良好的性价比,有手术指证的患者应积极手术治疗。
Objective To investigate the improvement of quality of life of postoperative patients with intractable temporal lobe epilepsy and to evaluate the effect of surgery on the quality of life of these patients. Methods The four indexes of self-care ability, learning ability, working ability and economic income were taken as the assessment standards of quality of life. The changes of quality of life in 168 patients with refractory temporal lobe epilepsy before and after surgery were compared and statistically analyzed. Results 168 patients with refractory temporal lobe epilepsy underwent rigorous preoperative evaluation of the anterior temporal lobe resection, follow-up 1-3 years, postoperative quality of life was significantly improved compared with preoperative, with statistical significance. Conclusions The postoperative quality of life of patients with intractable temporal lobe epilepsy is significantly improved. The surgery shows good cost performance. Patients with surgical indications should be actively operated.