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目的:探讨儿童颞叶癫痫手术治疗的适应证、致痫灶定位、手术方法及手术效果。方法:对25例儿童须叶癫痫患者,通过CT、MRI、脑电图、硬膜下电极等方法确定致痫灶,采用改良的前颞叶切除术切除颞叶。结果:随访3~9年,平均512±298年。痊愈18例(72%),好转4例(16%),效果不明显1例4%),失访2例(8%)。结论:手术对儿童颞叶癫痫的治疗效果良好,早期手术对改善儿童生活质量有明显帮助。
Objective: To investigate the indications of surgical treatment of temporal lobe epilepsy in children, the location of the epileptic foci, the surgical methods and the surgical results. Methods: Twenty - five cases of children with seizures of epilepsy were treated with CT, MRI, electroencephalogram and subdural electrodes to determine the epileptic foci. The anterior temporal lobe was excised by modified anterior temporal lobe excision. Results: Followed up for 3 to 9 years, with an average of 512 ± 298 years. 18 cases (72%) were cured, 4 cases (16%) were improved, 1 case (4%) was not obvious and 2 cases were lost (8%). Conclusion: Surgical treatment of temporal lobe epilepsy in children is effective, and early surgery can significantly improve the quality of life of children.