小儿症状性癫痫的外科治疗  

Surgical treatment for symptomatic epilepsy in children

作　　者：阮航[1] 陈谦学[1] 王军民[1] 陈治标[1] 徐海涛[1] 

机构地区：[1]武汉大学人民医院神经外科

出　　处：《临床外科杂志》2006年第3期162-163,共2页Journal of Clinical Surgery

摘　　要：目的探讨小儿症状性癫痫的病因、临床特点及手术方法。方法对1994年1月至2003年8月手术治疗的27例小儿症状性癫痫病例进行回顾性分析。结果全组无手术死亡及严重并发症。随访26例,时间为6个月～8年,18例(66.7%)癫痫发作消失,6例(22.2%)发作减少75%以上,3例(11.1%)发作减少50%～75%。结论术前综合评估对症状性癫痫患儿致痫灶的定位有较大应用价值,皮层脑电图监测下多种手术方法结合治疗小儿症状性癫痫安全有效。Objective To investigate the cause, clinical characteristics and surgical treatment of symptomatic epilepsy in children. Methods A retrospective analysis was made on 27 children with secondary epilepsy who were operated on from Jan. 1994 to Aug. 2003. Results No severe complications or mortality occurred in all patients. The follow - up results of 26 patients showed a complete seizure control obtained in 18 cases （66.7 % ）, significant reduction in 6 cases（22.2 % ）, and less control in 3 cases （11.1% ）. Conclusion For symptomatic epilepsy in children, the presurgical evaluation to localize epileptogenic focus has an important value. The combined operations with ECoG monitoring are effective and safe to seizure control.

关 键 词：儿童 症状性癫痫 外科手术 

分 类 号：R726.5[医药卫生—儿科]