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目的探讨外伤性癫癎的致癎灶分布和手术方式及疗效。方法收集本院神经外科2004年9月~2010年9月收治的76例外伤性癫癎患者的临床资料,并对其进行分析。结果 52例患者致癎灶位于外伤软化灶周围(2~7cm),9例呈弥散性分布,7例在半球同侧或两侧均有两处分布,8例未检出致癎灶。其中符合手术指征的23例患者在皮层电极下行手术治疗,按照谭启富标准,满意11例,显著改善8例,良好2例,较差2例,有效率91.3%,优良率82.6%。结论外伤性癫癎致癎灶常位于外伤软化灶周围且常引起局灶性发作;额叶颞叶癫癎的发生率高于其他部位;外伤性癫癎的手术疗效较好,故符合手术指征者应及时进行手术治疗。
Objective To investigate the distribution and surgical methods of curative effect of traumatic epilepsy. Methods The clinical data of 76 patients with traumatic epilepsy admitted from September 2004 to September 2010 in our hospital were collected and analyzed. Results Twenty - two patients were located around the traumatic softening lesions (2 ~ 7cm), 9 were diffusely distributed, 7 were distributed on the same side or both sides of the hemisphere, and 8 were not detected. Twenty-three patients were successfully surgically treated with cortical electrodes. According to Tan Qifu’s standard, 11 patients were satisfied, and 8 patients were significantly improved, 2 patients were good and 2 were poor. The effective rate was 91.3% and the excellent and good rate was 82.6%. Conclusion Traumatic epilepsy lesions are often located around the traumatic softening lesions and often cause focal seizures; the incidence of frontal lobe temporal lobe epilepsy is higher than other parts; surgical treatment of traumatic epilepsy better, it meets the surgical fingers Candidates should be timely surgical treatment.