儿童顽固性癫痫的特点及手术疗效(附56例报告)

Features and surgical effect of pediatric intractable epilepsy: report of 56 cases

目的研究儿童顽固性癫痫的特点及手术疗效。方法回顾性分析经手术治疗的56例顽固性癫痫患儿的临床资料。结果术后EngelⅠ级40例,占71.4%;Ⅱ级7例,占12.5%;Ⅲ级5例,占8.9%;Ⅳ级4例,占7.1%。术后3例患儿出现偏瘫,5例患儿出现急性失连接综合征,经康复治疗后逐渐恢复。无严重神经功能缺失,无死亡病例。结论儿童顽固性癫痫应积极外科手术,其疗效值得肯定。

The features and surgical effects of pediatric intractable epilepsy are studied. Methods The clinical data of 56 children with intractable epilepsy, who underwent surgery, were analyzed retrospectively. Results Of 56 children, 40 patients were scored Engel Ⅰ, 7 patients were Engel Ⅱ, 5 cases were Engel Ⅲ, and 4 cases were Engel Ⅳ after operation, Three children suffered hemiplegia and 5 suffered acute disconnection syndrome after operation, and all recovered after rehabilitation. There was no severe loss of neurological functions and no dead case. Conclusion Surgical treatment is recommended for pediatric intractable epilepsy with good curative effect.