Analysis of epilepsy surgery whether once and for all（淺析癲癇手術是否一勞永逸）In patients with epilepsy, you want to take a few patients with surgical treatment of epilepsy. The reason, they believe that surgery can be once and for all, you can quickly get rid of the troubled years of epilepsy, and also do not have endless medicine, why not.在癲癇的患者中，想要采取癲癇手術治療的患者不在少數(shù)。究其原因，他們認為手術治療可以“一勞永逸”，可以快速擺脫多年癲癇疾病的困擾，也不用無休止吃藥，何樂而不為。In response to this phenomenon, the experts pointed out: for the surgical treatment of epilepsy, and is not suitable for all patients with satisfactory results, but on the part of patients with refractory epilepsy. That surgery to once and for all idea to solve all the problems is unrealistic.針對這種現(xiàn)象，專家指出：對于癲癇手術治療，并不適合所有的患者，但對一部分難治性癲癇患者有滿意的效果。認為手術治療能夠“一勞永逸”，解決所有問題的想法是不現(xiàn)實。According to related statistics, through formal treatment, about 80% of patients can completely control seizures, and under the guidance of a doctor, by improving the physical fitness of patients with epilepsy and change within the environment of the patients body, such as: to correct the patients immune disorders, the central neurotransmitter steady-state balance, relieve brain abnormal nerve cell gap junction abnormal synchronous discharge avoid epileptogenic substances into the brain induce epileptic, etc., 3-5 years, if not attack, in close coordination with the doctor undergradually reduce the dosage, withdrawal, to avoid leakage medication or self-medication in withdrawal. Another part of refractory epilepsy or intracranial lesions of patients can be treated surgically.據(jù)相關統(tǒng)計資料顯示，通過正規(guī)治療，大約80%的患者可以完全控制發(fā)作的，并在醫(yī)生的指導下，通過改善患者的癲癇體質(zhì)，改變了患者體內(nèi)的內(nèi)環(huán)境，如：糾正患者免疫的紊亂，中樞神經(jīng)遞質(zhì)的穩(wěn)態(tài)平衡，解除腦內(nèi)異常的神經(jīng)細胞縫隙連接而導致的異常同步放電，避免致癇物質(zhì)入腦誘發(fā)癲癇等，若3-5年不發(fā)作，與醫(yī)生密切配合下可逐漸減藥、停藥，切忌漏服藥或自行減藥、停藥。另有一部分難治性癲癇或顱內(nèi)有病灶的病人可進行手術治療。Not all epilepsy patients are able to undergo surgery, only a small portion of patients suitable for surgery. On the one hand, a lot of the type of epilepsy, such as idiopathic epilepsy, because the right drug treatment or Chinese medicine treatment can be well controlled, and unnecessary surgery. On the other hand, many of the type of epilepsy such as generalized epilepsy there is no focal abnormalities, surgery can not be carried out, or surgical treatment poorly, not suitable for surgical treatment.不是所有的癲癇患者都能夠接受手術，適合手術治療的僅僅是一小部分患者。一方面，很多的癲癇類型例如特發(fā)性癲癇，因為采用正確的藥物治療或中醫(yī)治療就能夠控制良好，而不必要進行手術治療。另一方面，許多癲癇類型如全面性癲癇不存在局灶性的異常，無法進行手術治療，或者手術治療效果很差，也不適合手術治療。Clinical meet the standard of refractory, the pulse ended epilepsy therapy exclude physical therapy, enter the surgical positioning Assessment program. The assessment procedure of the surgery is very complex and requires multiple checks jointly analyze the results. Difficult to reach the same conclusion if the number of checks, as well as the results of the inspection found multiple trigger epileptic area to trigger epileptic area is located in important functional areas, patients may not be suitable for surgery.如果患者臨床符合難治性的標準，排除采用物理治療的脈沖止癇療法，則進入手術定位評估的程序。手術的評估程序很復雜，需要多個檢查綜合共同分析得出結果。如果多項檢查難以得出一致的結論，以及檢查的結果發(fā)現(xiàn)存在多個引發(fā)癲癇的區(qū)域或者引發(fā)癲癇的區(qū)域位于重要的功能區(qū)，那么患者可能不適合于手術治療。The choice of surgical approach: There are a variety of surgical way to select specific needs based on the patients condition. The most mature, but also the most craniotomy direct removal of the epileptic focus.外科手術方式的選擇：目前存在多種外科手術方式，需要根據(jù)患者的情況具體選擇。現(xiàn)在最為成熟，也是采用最多的是開顱手術，直接切除癲癇病灶。Surgical treatment of epilepsy is not once and for all, it is not high security, the surgery involves the need to be cautious when to head, many neurologists and make unremitting efforts for the positioning of the epileptic focus, but surgery may still be importantthe brain function generated damage may appear similar stroke hemiplegia, aphasia dysfunction.但是手術治療癲癇并非一勞永逸，也并不是高保障的，手術牽涉到頭顱時需要慎之又慎，許多神經(jīng)科醫(yī)生都在為癲癇灶的“定位”而不懈努力，但術中仍有可能對重要的腦功能區(qū)產(chǎn)生損害，可能出現(xiàn)類似腦中風的偏癱、失語等各種功能障礙。Epilepsy surgery and need some time to maintain the anti-epileptic drugs, consolidation therapy. Even if the surgery is very successful, and also need to take anti-epileptic drugs. Epilepsy surgery is the in epilepsy long-term course of treatment of a period.癲癇外科手術后均需要一定時間的抗癲癇藥物維持、鞏固治療。即使手術非常成功，也需要服用抗癲癇藥物。癲癇手術治療是癲癇長期治療過程中的一段時期。Needs of early drug treatment after surgery due to surgical stimulation of the cerebral cortex and the anti-epileptic drug concentration fluctuations in the blood caused by surgery may even seizures in status epilepticus, and it shall be given an anti-epileptic drug treatment, patients should be immediatelymedication. Long-term treatment of post-operative control may be residual epileptogenic zone attack potential of the cortex (such as the stimulation area) development of the epileptogenic zone, prevention, prevention and treatment of surgical scarring epileptogenic zone. Leaving only a precursor to the onset of the patient, according to the frequency of attacks, duration, and impact, reference EEG can be considered to reduce the dosage according to the disease, at le