目的:分析81例最终接受手术治疗的顽固性癫痫患者发病特点,了解不同分类癫痫的发病规律。方法:对81例最终接受手术治疗的顽固性癫痫患者进行分类,分析性别、发病年龄、病程、发作频率等与癫痫分类间的关系。结果:81例患者的男女比例为1.45:1,男性的平均发病年龄为13.6,女性为14.3,强直阵挛发作的耐受病程最短,平均为5.8年,大多数患者在20岁以前发病。结论:多种癫痫发作分类在性别、发病年龄、病程、发作频率上存在差异。 OBJECTIVE: To analyze the incidence of 81 patients with intractable epilepsy who underwent surgical treatment and to understand the pathogenesis of different categories of epilepsy. Methods: Eighty-one patients with refractory epilepsy who underwent surgery were classified. The relationship among gender, age, course of disease, seizure frequency and epilepsy classification was analyzed. Results: The ratio of male to female was 1.45: 1 in 81 patients. The average age of onset was 13.6 in men and 14.3 in women. The duration of the tonic-clonic seizures was the shortest with an average of 5.8 years. Most patients were older than 20 years old. Conclusion: The classification of multiple seizures has differences in gender, age of onset, duration of disease and seizure frequency.