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目的:比较额叶癫(FLE)与颞叶癫(TLE)在临床特征上的不同。方法:按国际抗癫联盟1989年癫综合征分类对门诊病例进行诊断筛选。对382例TLE和167例FLE患者临床资料进行回顾性分析,用χ2检验及比值比(Odd值)统计数据。结果:TLE与FLE在发病年龄、发作表现、发作间期脑电图改变(双侧放电、多脑叶放电、同步化和睡眠中放电增多)、发作频率和预后上差异有极显著统计学意义。结论:FLE和TLE的临床诊断对于治疗决策有重要意义。
Objective: To compare the clinical features of frontal lobe epilepsy (FLE) and temporal lobe epilepsy (TLE). Methods: According to the International Antiepileptic League Epilepsy Syndrome classification in 1989 out-patient diagnosis and screening. The clinical data of 382 patients with TLE and 167 patients with FLE were retrospectively analyzed, using χ2 test and odds ratio (Odd) statistics. Results: There were significant differences in the age of onset, seizure performance, EEG changes in interictal period (bilateral discharge, multilobar discharge, synchronization and discharge during sleep), the frequency of seizure and the prognosis . Conclusion: The clinical diagnosis of FLE and TLE is of great significance for the treatment decision.