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目的探讨术中超声引导及神经电生理监测对显微手术治疗儿童海绵状血管瘤继发癫痫的指导作用和价值。方法回顾性分析显微手术治疗的6例以癫痫为临床表现的儿童海绵状血管瘤的临床资料。术中采用超声引导及皮层脑电图(ECo G)监测,显微镜下进行海绵状血管瘤全切除及致痫灶切除。结果术后随访2年以上,癫痫无发作,无神经功能障碍。结论术中超声引导及ECo G监测可精确定位海绵状血管瘤病灶及指导致痫灶切除范围,起到了既指导手术入路、减少脑组织损伤,又提高海绵状血管瘤全切率及癫痫治愈率的作用,值得临床推广。
Objective To evaluate the value of intraoperative ultrasound guidance and electrophysiological monitoring in the treatment of children with cavernous hemangioma secondary epilepsy by microsurgery. Methods The clinical data of 6 cases of cavernous hemangioma in children undergoing microsurgical treatment with epilepsy were analyzed retrospectively. Intraoperative ultrasound guided and cortical EEG (ECo G) monitoring, under the microscope cavernous hemangiomas resection and epileptogenic resection. Results The patients were followed up for more than 2 years without epilepsy and without neurological dysfunction. Conclusion Intraoperative ultrasound guidance and ECo G monitoring can accurately locate cavernous hemangioma lesions and guide the scope of resection of epileptogenic foci, which not only guide the surgical approach, reduce brain tissue damage, but also improve the rate of cavernous hemangiomas and cure epilepsy The role of rate, it is worth clinical promotion.