中国临床神经外科杂志2024,Vol.29Issue(8) :503-507,512.DOI:10.13798/j.issn.1009-153X.2024.08.014

微创手术和神经调控手术治疗药物难治性癫痫的进展

Progress of minimally invasive surgery and neuromodulation for drug-resistant epilepsy

薛爽 王睿健 张万增 张淑知
中国临床神经外科杂志2024,Vol.29Issue(8) :503-507,512.DOI:10.13798/j.issn.1009-153X.2024.08.014

微创手术和神经调控手术治疗药物难治性癫痫的进展

Progress of minimally invasive surgery and neuromodulation for drug-resistant epilepsy

薛爽 1王睿健 1张万增 1张淑知1
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作者信息

  • 1. 053000河北,衡水市人民医院神经外科
  • 折叠

摘要

癫痫是常见的神经系统疾病之一,约1/3的癫痫发作无法用药物控制,称为药物难治性癫痫(DRE),可以选择手术治疗.由于各种原因,目前只有一小部分DRE病人接受手术治疗.随着微创手术和神经调控技术的进展,DRE的手术治疗效果明显改善.DRE的微创手术包括激光间质热疗、射频热凝消融、立体定向放射外科,神经调控方法包括迷走神经刺激、脑深部电刺激和反应性神经刺激系统.本文就这些技术治疗DRE的进展进行综述.

Abstract

Epilepsy is one of the common neurological disorders.Approximately one-third of epileptic seizures cannot be controlled by drugs and are referred to as drug-resistant epilepsy (DRE),for which surgical treatment can be selected.Due to various reasons,currently only a small proportion of DRE patients undergo surgical treatment.With the progress of minimally invasive surgery and neuromodulation technology,the surgical treatment effect of DRE has improved significantly.The minimally invasive surgeries for DRE include laser interstitial thermal therapy,radiofrequency thermocoagulation ablation,and stereotactic radiosurgery.The neuromodulation methods include vagus nerve stimulation,deep brain stimulation,and responsive neurostimulation systems.This article reviews the progress of these techniques in the treatment of DRE.

关键词

药物难治性癫痫/微创手术/神经调控技术

Key words

Drug-resistant epilepsy/Minimally invasive surgery/Neuromodulation

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出版年

2024
中国临床神经外科杂志
广州军区武汉总医院

中国临床神经外科杂志

CSTPCD
影响因子:0.781
ISSN:1009-153X
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