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目的 解决难治性癫痫特别是位于重要功能区痫灶的手术处理。方法 对30例难治灶癫痫病人进行了病灶切除+皮层多处软脑膜下横纤维切断术,利用皮层电极反复描记,在手术显微镜下操作,直至整个术野棘尖波消失,脑电波全部趋于正常,术前术后均行神经心理学评定。结果 术后随访2～27个月,显效率83.3％,有效率93.3％,随访期未见任何运动、感觉、语言功能的损害。结论 该手术疗效肯定,尤其在功能区手术,术后未出现乎术并发症,取得了较好的癫痫发作控制及功能保护疗效。
Objective To solve the treatment of refractory epilepsy, especially in the important functional area of the epileptic foci. Methods Thirty patients with epilepsy refractory to epilepsy underwent resection of the lesion and multiple subcortical transectional transection of the subcortical lamella.All the patients were operated under the operation microscope until the spike wave disappeared and all the brain waves In normal, preoperative and postoperative neuropsychological assessment. Results The patients were followed up for 2 to 27 months. The effective rate was 83.3% and the effective rate was 93.3%. No movement, sensory, or linguistic impairment were observed during the follow-up. Conclusions The curative effect of this operation is definite, especially in functional area surgery. No complications occurred after operation, and better seizure control and functional protection were achieved.