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目的总结并分析难治性额叶癫痫手术治疗的效果和经验。方法回顾性分析2006年6月到2012年1月我院手术治疗的43例难治性额叶癫痫患者临床表现、术前评估、手术及疗效。结果术后随访1～6年,平均2.4年;疗效结果根据Engel’s的标准进行评定,其中I级24例(55.8%),II级4例(9.3%),III级11例(25.6%),IV级4例(9.3%),效果优良率(I、II级)为65.1%,术后未见严重并发症。结论对于难治性额叶癫痫,VEEG与MEG两者一致时,效果优良率明显高于本组总体有效率,可以作为额叶癫痫患者预后较好的评判指标之一。
Objective To summarize and analyze the effect and experience of surgical treatment of intractable frontal lobe epilepsy. Methods The clinical manifestations, preoperative evaluation, operation and curative effect of 43 patients with refractory frontal lobe epilepsy who underwent surgery in our hospital from June 2006 to January 2012 were retrospectively analyzed. Results Efficacy was assessed according to Engel’s criteria. Among them, 24 were grade I (55.8%), 4 were grade II (9.3%), 11 were grade III (25.6%), Grade IV was in 4 cases (9.3%). The rate of excellent and good results (grade I and II) was 65.1%. No serious complications were found after operation. Conclusions In the treatment of refractory frontal lobe epilepsy, when the VEEG and MEG are consistent, the excellent and good effect rate is obviously higher than the total effective rate in this group, which can be used as one of the better prognostic indicators in patients with frontal lobe epilepsy.