儿童的切断手术:一个单一中心的经验,有185例病例
Yao Wang1, Ruofan Wang2, Qingzhu Liu1
1Pediatric Epilepsy Center, Peking University First Hospital, Beijing , China.
Neurosurgery
|June 19, 2023
概括
腰椎切断手术有效治疗儿科,有80.5%的患者实现了无发作. 皮层发育的形很常见,这种手术对患有难治性的幼儿有希望.
科学领域:
- 儿科神经外科 儿科神经外科
- 发病学 (Epileptology) 是一个专业的学科.
- 手术神经科学手术神经科学
背景情况:
- 在儿科手术中,垂和多垂断裂越来越多地被使用.
- 在不同中心的手术技术,结果和并发症中存在变化.
研究的目的:
- 为了分析临床数据的叶片断开用于难治的儿科.
- 描述不同的切断手术,评估结果,并评估安全性.
主要方法:
- 对185名患有难治的儿童进行了回顾性分析.
- 数据按特征分组;对结果/并发症的差异和风险因素进行了探索.
主要成果:
- 80.5%的患者实现了无发作 (2.1年随访).
- 皮层发育形 (MCD) 在78.4%的患者中存在.
- 帕里埃托 - 头切断和较大的MRI异常影响了结果.
结论:
- 多发性疾病是最常见的病因,发病年龄和手术年龄较小.
- 切断手术提供了良好的发作结果,具有较低的长期并发症率.
- 切断手术对于儿科来说至关重要,特别是改善了手术前评估.
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