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目的 探讨颞叶癫痫 (TLE)的诊断和治疗方法。方法 1996年至 1998年 ,36例顽固性颞叶癫痫病例依据EEG和MR检查进行定位诊断 ,其中 16例实施前颞叶切除术 ,另 2 0例接受选择性海马杏仁切除术 ,分析其近期疗效及随访结果。结果 所有患者癫痫得到满意控制 ,其中手术疗效满意 2 4例 ;显著 11例 ;良好 1例 ,术后无并发症发生。结论 MR有助于对TLE的定位诊断 ;手术是治疗顽固性TLE的重要手段 ,颞叶内侧癫痫病例应选用选择性海马杏仁核切除 ,采用经颧弓颞底入路使手术更为安全。
Objective To investigate the diagnosis and treatment of temporal lobe epilepsy (TLE). Methods From 1996 to 1998, 36 cases of intractable temporal lobe epilepsy were diagnosed by EEG and MR. Among them, 16 cases were performed anterior temporal lobe resection and 20 cases were treated with selective hippocampal appendectomy. The short-term curative effect was analyzed And follow-up results. Results All patients were satisfied with the control of epilepsy, of which 24 cases were satisfactory; 11 cases were significant; 1 case was good and no postoperative complication occurred. Conclusions MR is helpful to diagnose the location of TLE. Surgery is an important method to treat intractable TLE. Selective hippocampal amygdalotomy should be used in patients with temporal lobe epilepsy. Surgery should be performed more safely through the approach of the zygomatic arch and the temporal base.