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本文报道作者手术治疗10例小儿癫痫的经验。10例中男女各5例,病程为1年6个月～10年,皆为长期服药无效。文中讨论了手术适应证:①药物治疗无效;②发作起源于脑局部区域;③发作频繁,影响精神状态;④患儿的健康状况可以承受手术;⑤患儿能配合诊断性检查。手术原则:①寻找病灶,术前核对X线检查及CT检查;②切口应超出手术范围(如外伤),显露正常脑皮质区,癲痫灶常在正常与异常脑皮质的交界区;③切开硬脑膜后应注意有无脑萎缩、脑疤痕、血管畸形等。④术中脑电图检查,先在硬膜外
This article reports the author’s experience in the surgical treatment of 10 cases of pediatric epilepsy. 10 cases of male and female in 5 cases, duration of 1 year and 6 months to 10 years, are ineffective for long-term medication. The article discusses the surgical indications: ① drug treatment is invalid; ② attack originated in the brain region; ③ seizures frequent, affecting mental status; ④ children’s health can withstand surgery; ⑤ children with diagnostic tests. Surgical principles: ① looking for lesions, preoperative X-ray examination and CT examination; ② incision should be beyond the scope of surgery (such as trauma), revealing normal cortex, epileptic foci often in the normal and abnormal cortical border area; ③ cut After opening the dura should pay attention to whether there is brain atrophy, brain scars, vascular malformations. ④ intraoperative EEG examination, first in the epidural