目的：探讨手术治疗部分性癫痫患儿的远期疗效。方法回顾性分析2005年6月至2008年6月在斯坦伦布什大学泰格堡儿童医院该院接受外科手术治疗的158例部分性癫痫患儿的临床资料，观察患儿术后生活质量、智商改善及癫痫控制情况，并对影响手术远期疗效的相关因素进行分析。结果术后对患儿随访5年，158例患儿术后1、3、5年癫痫控制率分别为100．00％、94．85％、94．35％，其中MRI结果及病程是影响癫痫控制率的独立危险因素。智商1、3、5年改善率分别为89．87％、89．71％、88．71％，其中病程、手术年龄是影响患儿智商改善效果的独立危险因素。术后1、3、5年生活质量改善率分别为93．04％、91．18％、90．32％，其中术前智商、手术方式是影响患儿术后生活质量的独立危险因素。结论尽早对患儿实施手术，改善患儿病灶范围，能有效控制癫痫发作，改善患儿智商水平，提高患儿术后生活质量。%Objective To investigate the long‐term effect of surgical treatment of partial seizures in children .Methods The au‐thor was studying in the University of Stellenbosch ,Tygerberg Children′s Hospital .The clinical data of 158 children with partial seizures selected from June 2005 to June 2008 were retrospective analyzed .The postoperative quality of life ,improvement of IQ and the situation of seizure control ,and affect long‐term efficacy of surgery‐related factors were analyzed .Results The patients were followed up for 5 years .The control rate of seizures of 1 ,3 ,5 years were 100 .00% ,94 .85% ,94 .35% ,MRI findings and the course were control independent risk factors affecting the rate of seizure .The rates of IQ improvement of 1 ,3 ,5 years were 89 .87% , 89 .71% ,88 .71% ,of which preoperative IQ ,disease duration ,age at surgery in children were independent risk factors affecting IQ improvement .life .Quality improvement rate of 1 ,3 ,5 years were 93 .04% ,91 .18% ,90 .32% ,and IQ preoperative ,operative ap‐proach were independent risk factors affecting the quality of life postoperatively .Conclusion The surgery operating as soon as pos‐sible could be better for children to improve the range of lesions ,and also could effectively control seizures ,improving the level of intelligence in children and the quality of life postoperatively .
展开▼
