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目的：为了探讨以癫痫为首发症状的脑胶质瘤的临床特点。方法：对我院（１９９０ ～１９９６ 年） 以癫痫为首发症状，病程在３ 个月以上，并在我院手术切除，病理证实为脑胶质细胞瘤的３７ 例患者，进行回顾性分析。结果：３７ 例患者术后病理为星形细胞瘤Ⅰ、Ⅱ级１９ 例，Ⅲ、Ⅳ级８ 例，少枝胶质细胞瘤８ 例，少枝胶质母细胞瘤２ 例。提示：低级别胶质瘤居多，有显著性差异（ Ｐ＜ ００１） 。 Ｃ Ｔ 检查多呈不规则低密度影，无强化，有时需 Ｍ Ｒ Ｉ检查才能确诊。手术全切后生存最长者８ 年以上。有５ 例复发而再次手术，术后病理均提示：星形细胞瘤Ⅳ级。结论：以癫痫为首发症状的脑胶质细胞瘤恶性程度低，手术全切效果好，预后好。
Objective: To investigate the clinical features of gliomas with epilepsy as the first symptom. Methods: A retrospective analysis of 37 patients with epilepsy as the first symptom in our hospital (1990 ~ 1996) with a course of more than 3 months and surgical resection in our hospital with pathologically confirmed glioma was performed. Results: The pathology of 37 cases was astrocytoma Ⅰ and Ⅱ in 19 cases, Ⅲ and Ⅳ in 8 cases, oligodendroglioma in 8 cases and juvenile glioblastoma in 2 cases. Tip: low-grade gliomas mostly, there was a significant difference (P <0 01). C T examination showed mostly irregular low density, no enhancement, sometimes M R I check to confirm. After surgery, the longest survival of those who over 8 years. There are 5 cases of recurrence and reoperation, postoperative pathology tips: astrocytoma Ⅳ level. Conclusion: Epilepsy as the first symptom of glioma has a low degree of malignancy, the effect of total surgical resection is good and the prognosis is good.