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低级别胶质瘤合并癫痫患者手术治疗的临床疗效分析

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目的探析采用外科手术治疗低级别胶质瘤合并癫痫患者的临床疗效及安全性.方法选取2009年2月-2012年3月间收治的60例低级别胶质瘤且合并有癫痫患者为研究对象,根据术中患者是否进行脑电监测对致癫痫的病灶进行有效处理进行分组,将患者分为治疗组与对照组,对照组患者20例,均进行单纯切除肿瘤手术治疗,治疗组患者40例,在切除肿瘤的同时对致癫痫的病灶进行有效处理.结果治疗组有效率为92.5%,高于对照组的80.0%,差异有统计学意义(P <0.05).结论采用手术治疗低级别胶质瘤合并癫痫患者过程中应尽可能将肿瘤全部切除,并且配合脑电监测对致癫痫的病灶进行有效处理,此术疗效较满意,值得临床推广应用.
Low-grade gliomas combined analysis of the clinical efficacy of the surgical treatment of epilepsy patients
Objective Exploration clinical, the clinical efficacy and safety of the surgical treatment of low-grade gliomas with epilepsy patients for the clinical treatment of the disease on surgical treatment options. Methods Selected the period from February 2009 to March 2012 were treated 60 patients with low-grade gliomas and associated with epilepsy patients as the research object, according to the patients during surgery whether EEG monitoring of epilepsy caused by lesions to deal effectively with the grouping, the patients were divided into 2 groups that the treatment group and the control group, the control group patients 20 cases were simple excision of tumor surgery treatment, patients treated with 40 cases in the same time of removal of the tumor lesions induced epileptic processing. Results The treatment group patients after surgery, 27 cases markedly effective in 10 cases, a therapeutically effective rate was 92.5%; control group after surgery, seven cases markedly effective in 9 cases, the rate was 80.0%; surgical treatment of the treatment group effect and therapeutic effect of the control group compared to the treatment group was significantly better than the control group, the difference was statistically significant(P <0.05). Conclusion The clinical, surgical treatment of low-grade gliomas with epilepsy patients during surgery should be possible tumor resection, and effective treatment of epilepsy caused by lesions with the EEG monitoring therapeutic effect of this technique is quite satisfactory worth in clinical extensive promotion and application.

Low-grade gliomasEpilepsySurgeryClinical efficacy

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251400 山东省济南市济阳县人民医院神经科

低级别胶质瘤 癫痫 外科手术治疗 临床疗效

2013

中国医疗前沿
中国医院协会

中国医疗前沿

影响因子:0.186
ISSN:1673-5552
年,卷(期):2013.(4)
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