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目的探讨小儿症状性癫痫的病因、临床特点及手术方法。方法对1994年1月至2003年8月手术治疗的27例小儿症状性癫痫病例进行回顾性分析。结果全组无手术死亡及严重并发症。随访26例,时间为6个月～8年,18例(66.7%)癫痫发作消失,6例(22.2%)发作减少75%以上,3例(11.1%)发作减少50%～75%。结论术前综合评估对症状性癫痫患儿致痫灶的定位有较大应用价值,皮层脑电图监测下多种手术方法结合治疗小儿症状性癫痫安全有效。
Objective To investigate the etiology, clinical features and surgical methods of pediatric symptomatic epilepsy. Methods A retrospective analysis of 27 cases of pediatric symptomatic epilepsy treated surgically from January 1994 to August 2003 was performed. Results The whole group had no operative death and serious complications. Twenty-six patients were followed up for 6 months to 8 years. Seizure disappeared in 18 patients (66.7%), seizures decreased by 75% in 6 patients (22.2%) and decreased by 50% (75%) in 3 patients (11.1%). Conclusion The comprehensive preoperative evaluation of epileptic foci in children with symptomatic epilepsy has a great value in clinical application. It is safe and effective to treat epilepsy in children with multiple surgical methods under the monitoring of cortical EEG.