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目的 探讨儿童脑内小肉芽肿继发癫痫的CT脑立体定向开放显微手术治疗方法。方法 对31例儿童脑内小肉芽肿继发癫痫病变直径在0.4～2.5 cm之间的患者采用CT脑立体定向仪定位,显微镜下切除病灶。结果 31例均在显微镜下操作将病灶完整切除,无手术并发症及死亡。随访8个月～3年,经CT复查证实无复发,癫痫消失,脑电图正常。结论 儿童脑内小肉芽肿继发癫痫的CT脑立体定向显微手术切除脑内病灶,定位准确,安全有效,值得推广。
Objective To investigate the treatment of children with intracerebral granulomatous secondary epilepsy by CT stereotactic open microsurgical treatment. Methods Twenty - one children with intracerebral granulomatosis secondary to epilepsy with diameter between 0.4 and 2.5 cm were located by CT stereotaxy and the lesions were removed under the microscope. Results All 31 cases underwent microsurgical resection of the lesion without complications and death. Follow-up of 8 months to 3 years, confirmed by CT no recurrence, epilepsy disappeared, normal EEG. Conclusion Children with intracerebral granulomatous secondary epilepsy CT brain stereotactic microsurgical removal of intracerebral lesions, accurate positioning, safe and effective, it is worth promoting.