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目的 探讨多处软膜下横纤维切断术 (SMT)联合病灶或 (和 )致脑叶切除对顽固性癫的疗效。方法 取大骨瓣开颅 ,术中行皮层脑电监测。比较手术前后残余的样放电区域的影响 ,术后继续服用抗药治疗 2年 ,逐渐减量或停药。结果 本组无手术死亡和明显的并发症。随访 1～ 7年 ,有效 (发作频率减少 5 0 %以上 )率为 90 .2 % ,显效 (发作频率减少 75 %以上 )率为 80 .4 % ,效差或无效 9.8%。术后复查脑电图多有明显改善。结论 在顽固性癫的治疗中 ,将MST联合病灶或 (和 )致脑叶切除 ,既能取得较好的疗效 ,又能保留更多的脑组织。
Objective To investigate the effect of multiple subtotal transverse suture (SMT) combined lesions or (and) induced lobectomy on refractory epilepsy. Methods Big craniotomy craniotomy, intraoperative cortical EEG monitoring. Before and after surgery to compare the residual discharge area like the impact of postoperative anti-tuberculosis drugs continue to treat 2 years, tapering or withdrawal. Results There were no operative deaths and significant complications in this group. After 1 to 7 years of follow-up, the effective rate (onset frequency was reduced by 50% or more) was 90.2%, the effective rate (episode frequency decreased by 75% or more) was 80.4%, and the effective or ineffective 9.8%. Postoperative EEG more significant improvement. Conclusion In the treatment of intractable epilepsy, MST combined with lesions or (and) induced lobes, both to achieve better efficacy, but also retain more brain tissue.