| 大脑半球切开术治疗儿童顽固性癫痫 |
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| 引用本文： | 秦广彪,张培胜,马康平,易林华,杨玉成,梅珊珊,代金东,魏宸铭,栾燕飞,李云林. 大脑半球切开术治疗儿童顽固性癫痫[J]. 临床神经外科杂志, 2016, 0(4): 285-288. DOI: 10.3969/j.issn.1672-7770.2016.04.012 |
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| 作者姓名： | 秦广彪 张培胜 马康平 易林华 杨玉成 梅珊珊 代金东 魏宸铭 栾燕飞 李云林 |
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| 作者单位： | 1. 神经内科, 首都儿科研究所附属儿童医院神经外科 原北京市海淀医院功能神经科,100020;2. 河北省武安市第一人民医院神经外科;3. 北京市海淀医院功能神经科;4. 首都儿科研究所附属儿童医院神经外科 |
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| 摘 要： | 目的探讨大脑半球切开手术治疗儿童顽固性癫痫的临床效果。方法回顾性分析7例大脑半球性病变致癫痫的患儿的临床资料。患儿综合评估后行大脑半球切开术,手术经外侧裂环岛沟入路,癫痫控制效果以Engel标准评判,疗效以最后1次随访时间为准。结果 7例患儿经6个月~2.5年的随访,癫痫控制均为EngelⅠ级,均无明显并发症;术后对侧肢体感觉、运动功能无减退,认知及生活能力较术前有不同程度的改善。结论大脑半球切开术治疗儿童半球性病变致癫痫的疗效确切,安全、有效。
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| 关 键 词： | 大脑半球切开术 癫痫 儿童 |
Hemispherotomy for children with refractory epilepsy |
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| Abstract: | Objective To explore the clinical effectiveness of hemispherotomy for children with refractory epilepsy .Methods We conducted a retrospective review of clinical data in 7 children with refractory epilepsy who underwent peri-insular hemispherotomy .The effect of epilepsy surgery was obtained according to the last result of follow-up and judged by Engel's standard . Results After the follow-up of 6 months to 2.5 years, the surgical effect of all the 7 cases were Engel-I level and there were no severe complications after surgery .The sensorimotor function were not decreased and the cognitive and living skills were improved in varying degrees . Conclusion Hemispherotomy is a safe and effective surgical procedure for children with refractory epilepsy . |
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| Keywords: | hemispherotomy epilepsy child |
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