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目的评估术中皮质脑电监测(ECoG)下手术治疗难治性癫的作用价值。方法回顾性分析术中皮质脑电监测下手术治疗46例难治性癫患者的临床资料。结果术后随诊10月～5年,54%术后无癫发作;19%术后仅有先兆发作;23%发作次数减少或发作形式改变。4%术后无效。无手术死亡及严重并发症。结论难治性癫术中应用皮质脑电监测系统实施癫手术可明显减少手术并发症,提高手术效果。
Objective To evaluate the value of intraoperative cortical electroencephalography (ECoG) in the treatment of refractory epilepsy. Methods The clinical data of 46 patients with intractable epilepsy treated by intraoperative cortical electroencephalography were retrospectively analyzed. Results Postoperative follow-up of 10 months to 5 years, 54% postoperative epileptic seizures; 19% postoperative only threatened seizures; 23% reduction in the number of attacks or seizures. 4% invalid after surgery. No operative deaths and serious complications. Conclusion The application of epileptic cortex EEG monitoring system in the treatment of epilepsy can significantly reduce the surgical complications and improve the surgical outcome.