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目的探讨提高儿童癫痫确诊率的方法和录像脑电图在儿童癫痫诊断中的价值。方法对８４例儿童癫痫患者进行２４小时录像脑电图（ＶＥＥＧ）描记，并和常规脑电图（ＥＥＧ）对比分析。结果ＶＥＥＧ阳性率为８６．９％，临床发作率３９．３％；明显高于常规ＥＥＧ阳性率为４０．５％，临床发作率２．４％（均Ｐ＜０．０１）。结论ＶＥＥＧ在儿童癫痫的诊断、分类、术前评估等方面较常规ＥＥＧ更有价值。
Objective To explore the method of improving the diagnosis rate of epilepsy in children and the value of video-electroencephalogram in the diagnosis of children epilepsy. Methods Eighty-four children with epilepsy were recorded 24-hour VEEG and compared with conventional electroencephalogram (EEG). Results The positive rate of VEEG was 86.9% and the clinical attack rate was 39.3%. The positive rate of VEEG was 40.5% and the clinical attack rate was 2.4% (all P <0.01). Conclusion VEEG is more valuable than conventional EEG in the diagnosis, classification and preoperative evaluation of childhood epilepsy.