小儿难治性癫痫的外科治疗(附108例报告)

目的 探讨小儿难治性癫痫的手术时机、病例选择、手术方式及疗效.方法 对108例难治性癫痫患儿进行全面的术前检查并实施与之相应的手术治疗,术后分段随访,并做回顾性分析.结果 手术治疗后6-24个月,全部病例得到随访.44例(40.7%)患儿术后癫痫发作完全消失,41例(38.0%)症状显著改善,11例(10.2%)改善较好,10例(9.3%)改善较差,2例(1.8%)无明显改善.结论 小儿难治性癫痫可以选择早期手术治疗,预后优于成人.对不同癫痫患儿选择正确的手术方式,可以控制癫痫发作,提高患儿生活质量.

Surgical treatment of intractable epilepsy in childhood: an analysis of 108 cases

Objective To evaluate the operational mode, indication and efficacy of the treatment for intractable epilepsy in childhood. Method 108 children with intractable epilepsy were examined before operation. Then they underwent right operation accordingly. Every children and his family who has suffered the surgery was followed up for the back analysis of the surgery. Results 108 patients were followed up for 6 to 24 months. Surgical results were satisfactory in 44 patients (40.7%), improved in 41 (38.0%), fine in 11 (10.2%), poor in 10 (9.3%), ineffective in 2 (1.8%). The total effective rate was 88.9%. Conclusions Early surgical intervention is a safe and effective treatment for intractable epilepsy in childhood, and the prognosis of the children is better than adult. Furthermore, to chose the right mode of surgery for each child, it will allows for optimal brain development and improve the quality of life in in the future.