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目的探讨儿童灾难性癫痫的手术治疗。方法回顾性分析10例手术治疗的儿童灾难性癫痫患者资料,比较手术前后癫痫发作情况及智能情况。结果除1例脱失外,余随访12月以上,所有患者术后无并发神经功能损害和智能障碍的加重。疗效评定为癫痫控制满意4例,显著改善2例,良好2例,较差1例。行为异常、语言障碍术后均有改善和提高;与术前比较,术后智商提高不明显。结论积极的手术治疗不仅能有效地控制儿童灾难性癫痫的发作,还能改善部分智能障碍。
Objective To investigate the surgical treatment of catastrophic epilepsy in children. Methods The data of 10 patients with disastrous epilepsy treated surgically were retrospectively analyzed. The seizure status and intelligence before and after surgery were compared. Results except one case of loss, more than 12 months follow-up, all patients without postoperative complications of neurological dysfunction and mental retardation. The curative effect was evaluated as satisfying 4 cases of epilepsy control, 2 cases were significantly improved, 2 cases were good and 1 case was poor. Behavioral abnormalities, language disorders have improved and improved after surgery; compared with preoperative, postoperative IQ increased insignificantly. Conclusion The positive surgical treatment can not only effectively control the onset of catastrophic epilepsy in children, but also improve some of the mental disorders.