【摘要】 目的 研究颞叶癫痫的手术治疗效果及其病理改变。方法 对36例手术治疗颞叶癫痫患者的疗效及病理结果进行回顾性分析。结果 全部病例均行前颞叶切除术治疗，总有效率97.2%；病理报告：脑肿瘤5例、脑血管畸形6例、胶质细胞增生2例、瘢痕5例、蛛网膜囊肿2例，不明性质1例,同时伴有颞叶内侧硬化9例，仅为颞叶内侧硬化12例，无病理发现4例。结论 颞叶癫痫手术治疗疗效满意，多数颞叶癫痫有明确的病理改变。

    【关键词】 颞叶癫痫；手术；病理

    Pathological analysis of temporal lobe epilepsy treated surgically

    LONG Ming,LI Ji,CUI Kun-chi.Department of Neurosurgery,Chongqing Sanxia Central Hospital,Chongqing 404000,China

    【Abstract】 Objective To study the surgical treatment and pathological changes of temporal lobe epilepsy.Methods Thirty-six cases of temporal lobe epilepsy treated surgically were analyzed retrospectively.Results All cases underwent anterior temporal lobectomy,the effective rate was 97.2%.The pathologic diagnosis:four brain tumor,six vascular malformation,two neurogia cell hyperplasia,five cortical scar,two arachnoid cyst,one could not be indentify.In all above,nine with medial temporal lobe sclerosis. Twelve were only found medial temporal lobe sclerosis.Four were not found structural abnormal.Conclusion The outcome of temporal lobe epilepsy treated with surgery is good,and most of temporal lobe epilepsy can be found with pathological change. ......