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目的:1.探讨以癫痫为首发症状的胶质瘤的早期诊断和治疗。2了解不同手术方式对疾病的治疗和长期预后的影响。方法:对从2011年8月到2012年9月的31例病人进行回顾性研究分析。结果:病理确诊的WHOⅠ级星形细胞瘤2例,WHOⅠ-Ⅱ级的星形细胞瘤的4例,WHOⅡ级的星形细胞瘤12例,WHOⅡ级少突胶质细胞瘤的7例,WHOⅡ-Ⅲ的星形细胞瘤4例,仅有胶质细胞增生的2例。结论:1以癫痫为首发症状的低级别胶质瘤应诊断明确,注意鉴别诊断。2早期显微手术治疗控制癫痫症状效果较好。3术后给予抗癫痫药物可预防和较少再发作。4根据手术部位,尽可能的全切肿瘤。
Objective: To investigate the early diagnosis and treatment of gliomas with epilepsy as the first symptom. 2 Understand the impact of different surgical modalities on the treatment and long-term prognosis of the disease. Methods: A retrospective study was performed on 31 patients from August 2011 to September 2012. Results: There were 2 cases of pathologically diagnosed grade I astrocytoma, 4 cases of WHO stage Ⅰ-Ⅱ astrocytoma, 12 cases of WHO stage Ⅱ astrocytoma, 7 cases of WHO stage Ⅱ oligodendroglioma, -Ⅲ astrocytoma in 4 cases, only glial hyperplasia in 2 cases. Conclusions: 1 Low-grade gliomas with epilepsy as the first symptom should be diagnosed clearly and pay attention to differential diagnosis. Early microsurgery treatment of epilepsy symptoms better. 3 postoperative antiepileptic drugs can be prevented and less reoccurrence. 4 according to the surgical site, as complete resection of the tumor.