外科治疗儿童颞叶癫痫的疗效观察

Surgery outcome of pediatric intractable temporal epilepsy

目的：探讨外科治疗儿童颞叶癫痫的手术效果、方法：对我院1990年至2001年手术治疗34例儿童颞叶癫痫患儿，经CT／MRI、脑电图、神经心理学等检查，行改良的前颞叶切除术切除颞叶，随访2～13年，平均6年。结果：依据Engel分级，痊愈22例（65％），明显好转3例（9％），好转3例（9％），效果不明显2例（6％），失访4例（12％）：结论：手术治疗儿童颞叶癫痫是安全和有效的。

Objective：To discuss the surgical outcome of pediatric intractable temporal epilepsy. Methods ：This observation included 34 pediatric patients with intractable temporal epilepsy who were admitted to our hospital from 1990 to 2001. CT or MRI, EEG and neuropsychological examinations were taken to determine the situations of the patients. They all underwent improved anterior temporal lobectomy. Results：The patients have been followed up for 2 - 13 years. According to Engel＇s classification, the achieved outcomes were seizure-free in 22 （65 % ） patients, apparently improved in 3 （9 % ） patients, improved in 3 （9 % ） patients, no effect in 2 （6 % ） patients, and lost of follow-up in 4 （ 12% ） patients, respectively. Conclusion：Surgical treatment to pediatric intractable temporal epilepsy is safe and effective. The most common pathological causes for pediatric epilepsy are tumor and hippocampus sclerosis. Early surgery of pediatric temporal epilepsy could improve the life qualities of patients.