论文部分内容阅读
为了克服解剖性大脑半球切除术的远期合并症,作者对传统术式进行了改良,并对31例婴儿痉挛性偏瘫伴癫痫的病例进行了疗效的远期随访。结果表明,本术式死亡率为0%,其中28例癫痫发作完全停止(占90%),其余3例基本控制。行为异常得到改善、原有偏瘫无加重。神经影像学表现为健侧大脑半球明显向术腔发育;病例的脑干听觉诱发电位Ⅰ波潜伏期(PL)与对照组间差异无显著性意义(P>0.05)。作者认为,应用本改良法后消除了以往术式造成的巨大硬膜下术腔的病理解剖因素,并证实未发生常见的远期合并症。
In order to overcome the long-term complications of anatomic hemispherectomy, the authors modified the traditional surgical procedures and performed long-term follow-up of 31 infants with spastic paralysis and epilepsy. The results showed that the surgical mortality rate was 0%, of which 28 cases of seizures completely stopped (90%), the remaining 3 cases of basic control. Abnormal behavior improved, the original hemiplegia without aggravating. Neuroimaging showed that the contralateral hemisphere of the contralateral hemisphere was evidently developed into the surgical cavity. There was no significant difference between the brainstem auditory evoked potential Ⅰ wave latency (PL) and the control group (P> 0.05). The authors believe that the application of this improved method eliminates the pathological anatomy of the vastly subdural lumen caused by previous procedures and confirms that no common long-term complications have occurred.