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目的探讨大脑半球切开手术治疗儿童顽固性癫痫的临床效果。方法回顾性分析7例大脑半球性病变致癫痫的患儿的临床资料。患儿综合评估后行大脑半球切开术,手术经外侧裂环岛沟入路,癫痫控制效果以Engel标准评判,疗效以最后1次随访时间为准。结果 7例患儿经6个月~2.5年的随访,癫痫控制均为EngelⅠ级,均无明显并发症;术后对侧肢体感觉、运动功能无减退,认知及生活能力较术前有不同程度的改善。结论大脑半球切开术治疗儿童半球性病变致癫痫的疗效确切,安全、有效。
Objective To investigate the clinical effect of cerebral hemisphere incision surgery on intractable epilepsy in children. Methods The clinical data of 7 children with epilepsy induced by hemispheric lesions were retrospectively analyzed. Children with a comprehensive assessment of hemisphere hemispherectomy after surgery by the lateral fissure island ditch into the road, epilepsy control effect to Engel standards, the efficacy of the last follow-up time shall prevail. Results All the 7 children were followed up for 6 months to 2.5 years. The control of epilepsy was Engel Ⅰ grade. There was no obvious complication. The sensory and motor function of the contralateral limb did not diminish after operation, and the cognition and living ability were different Improve the degree. Conclusion Hemispheric incision for the treatment of children with hemispheric lesions caused by epilepsy is effective, safe and effective.