癫痫外科治疗的研究进展

摘要

癫痫是神经系统的常见病并且危害较大,其发病机制不甚明确.当前治疗癫痫的重要手段是抗癫痫药物(AEDs)的应用.在现代医学快速发展的背景下,近年来各种新型AEDs投入使用并取得了良好的效果.然而,仍有部分患者呈药物难治性,对于这部分患者可以采用手术治疗的方式来达到控制癫痫的效果.该文现就癫痫外科手术过程中术前必要的评估、术式的选择、手术预后的评估以及术后用药等几个方面综述如下.%Epilepsy is a common disease in nervous system and does much harm to patients.Its mechanism remains unclear.Antiepileptic drugs are major means in epilepsy treatments at present and many new kinds of antiepileptic drugs are putting into use recent years,which obtain great results.However,there is still part of patients presenting medication refractory.Surgery comes to be a new method in treating epilepsy.So as to deepen insights for epilepsy surgery,this article reviewed on preoperative assessment,operative method,prognostic evaluation,and postoperative medication.