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目的 探讨外科手术用于小儿难治性癫痫的适应证、手术方式及随访结果。方法 1999年 8月～ 2 0 0 1年 5月对 6 9例 14岁以下难治性癫痫患儿采用手术治疗 ,并探讨其适应证。结果 随访 6个月以上者 5 3例 ,疗效满意 33例 ,显著改善 11例 ,良好 6例 ,无效 3例。总有效率为83.0 % (44 / 5 3) ,显效率 6 2 .2 % (33/ 5 3)。原有智力缺陷改善 8例 ,占 2 4 .2 % (8/ 33) ,行为障碍恢复 13例 ,占 33.3% (13/ 4 0 ) ,学习困难提高 15例 ,占 4 0 .5 % (15 / 37)。结论 早期外科手术对小儿难治性癫痫是一种有效治疗方式 ,行为和心理障碍得到改善 ,脑最佳康复成为可能
Objective To investigate the indications, surgical methods and follow-up results of surgery for intractable epilepsy in children. Methods From August 1999 to May 2001, 69 children with refractory epilepsy under the age of 14 were treated by surgery and their indications were discussed. Results 53 cases were followed up for 6 months or more, 33 cases were satisfactory, 11 cases improved significantly, 6 cases were good and 3 cases were ineffective. The total effective rate was 83.0% (44/53) and the effective rate was 62.2% (33/53). The original mental retardation improved in 8 cases, accounting for 24.2% (8/33), behavioral disorders recovered in 13 cases (33.3%), learning difficulties increased in 15 cases (40.0%) / 37). Conclusion Early surgical treatment of intractable epilepsy in children is an effective treatment, behavioral and psychological disorders have been improved, the best possible brain rehabilitation