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目的:对难治性癫痫患儿行胼胝体切开术,确定胼胝体切开术对难治性癫痫患儿癫痫发作的控制程度和疗效,并评价此术式在控制儿童难治性癫痫全面性发作方面的安全性。方法:入选患者是我科自2008年~2012年收入院的4例癫痫患儿,4例均行胼胝体切开术,评价其术后癫痫控制情况和并发症。结果:4例患儿癫痫发作频率均减少50%以上,达到100%有效;其中3例癫痫患儿癫痫发作减少80%以上,占总数的75%。4例癫痫患儿均未出现术后并发症。结论:胼胝体切开术对儿童难治性癫痫的癫痫发作次数的控制有显著的疗效,且对小儿进行外科治疗不会严重损害其认知功能。
Objective: To conduct the corpus callosum incision in children with refractory epilepsy to determine the extent and efficacy of corpus callosum incision seizures in children with intractable epilepsy, and evaluate the surgical treatment of children with intractable epilepsy comprehensive attack Aspects of security. Methods: Four patients with epilepsy who were admitted to our department from 2008 to 2012 were enrolled. Four patients underwent corpus callosotomy to evaluate their postoperative epileptic control and complications. Results: The frequency of epileptic seizures decreased by more than 50% in all 4 cases, reaching 100%. Among them, 3 cases of epileptic seizures decreased by 80% or more, accounting for 75% of the total. Four cases of children with epilepsy did not appear postoperative complications. Conclusion: The corpus callosotomy has a significant effect on the control of the number of epileptic seizures in children with intractable epilepsy, and the surgical treatment of pediatric patients will not seriously impair their cognitive function.