影像科学与光化学 ›› 2021, Vol. 39 ›› Issue (1): 19-23.DOI: 10.7517/issn.1674-0475.200707

• 综述与论文 • 上一篇    下一篇

脑电图监测对额叶癫痫发作性患者的早期诊断及术中辅助定位价值研究

廖红霞, 杨加亮, 杨渌   

  1. 攀枝花市中心医院 神经科 脑电图室, 四川 攀枝花 617000
  • 收稿日期:2020-07-10 发布日期:2021-01-13
  • 通讯作者: 杨加亮

Early Diagnosis and Prognostic Value of EEG Monitoring in Epileptic Seizures

LIAO Hongxia, YANG Jialiang, YANG Lu   

  1. Electroencephalogram Room, Department of Neurology, Central Hospital of Panzhihua, Panzhihua 617000, Sichuan, P. R. China
  • Received:2020-07-10 Published:2021-01-13

摘要: 癫痫的早期诊断对预后恢复具有重要意义,因此本文对脑电图在癫痫患者术前诊断和辅助手术治疗方面的应用价值进行了综合性探究。选择经临床确诊为额叶癫痫的60例患者作为研究对象进行回顾性研究,术前、术后分别通过头颅核磁共振和脑电图对患者进行检查,比较两种检测方法的灵敏度、特异度和准确率。经研究发现,脑电图与MRI检查相比,其诊断灵敏度、特异度、准确率更高,差异具有统计学意义(P<0.05);脑电图术前定位与术中定位的一致率较高,差异显著(P<0.05);脑电图检查结果与MRI一致性较好;采用脑电图跟踪监测的手术治疗有效率为97.14%。综上所述,EEG在癫痫的早期诊断及辅助手术治疗方面具有较高的应用价值,是一种可靠、便捷的诊断方法。

关键词: 癫痫, 头颅核磁共振, 脑电图, 灵敏度, 特异度, 诊断价值

Abstract: Early diagnosis of epilepsy is of great value for the prognosis. This study investigated the value of EEG in the preoperative diagnosis and postoperative prognosis of patients with epilepsy. We collected 60 patients who were diagnosed as frontal lobe epilepsy as the research objects and conducted a retrospective study. Before and after surgery, patients were checked by head MRI and EEG respectively, and the sensitivity, specificity and accuracy of the two detection methods were compared. It was found that, compared with MRI examination results, EEG showed higher diagnostic sensitivity, specificity, and accuracy (P<0.05). In addition, the accuracy of EEG preoperative positioning and intraoperative positioning was higher (P<0.05). The results of EEG examination were consistent with MRI, and the effective rate of postoperative treatment monitored by EEG was 97.14%. In summary, EEG has great application value in the early diagnosis of epilepsy, and it is a reliable and convenient diagnostic method.

Key words: epilepsy, cranial MRI, electroencephalography, sensitivity, specificity, diagnostic value