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目的探讨术中皮层脑电图监测对伴发癫痫的脑肿瘤患者术后预后效果。方法回顾性分析64例伴有癫痫症状的脑肿瘤患者术后的癫痫控制情况,36例术中应用皮层脑电图监测,28例仅行肿瘤全切除术。64例患者中仅有1例未在显微镜下切除,该例患者在非术中脑电图监测组。效果评价应用Engle分级,结果应用SPSS15.0软件进行分析和Wilcoxon秩和检验。结果术中应用皮层脑电图监测组治疗与对照组的效果经统计学软件分析有统计学意义。结论术中皮层脑电图监测可以提高伴发癫痫脑肿瘤患者术后癫痫控制的有效率。
Objective To investigate the effect of intraoperative cortical EEG monitoring on postoperative prognosis in patients with brain tumor with epilepsy. Methods A retrospective analysis of 64 cases of epilepsy with brain tumor patients with postoperative epilepsy control, 36 cases of the application of cortical EEG monitoring, 28 cases of total tumor resection only. Only one of the 64 patients was not under a microscope and the patient was in the non-operative EEG monitoring group. The results were evaluated using Engle classification, and the results were analyzed by SPSS15.0 software and Wilcoxon rank sum test. Results The results of intraoperative cortical EEG monitoring group and control group were statistically analyzed by statistical software. Conclusion Intraoperative cortical EEG monitoring can improve the efficiency of postoperative epilepsy control in patients with epilepsy brain tumor.