与瘤相关的和术后结果:越南第三级医院的经验
Viet-Thang Le1,2, Anh Minh Nguyen1,2, Tuan Anh Pham1,3
1Faculty of Medicine, University of Medicine and Pharmacy, 217 Hong Bang Street, 11th Ward, 5th District, Ho Chi Minh City, 700000, Vietnam.
Scientific reports
|July 5, 2023
概括
大脑瘤手术的结果显著改善,大多数患者在手术后没有发作. 总体切除和较短的发作史在切除脑瘤后对控制有积极的影响.
科学领域:
- 神经外科 神经外科
- 发病学 (Epileptology) 是一个专业的学科.
- 在瘤学瘤学.
背景情况:
- 发作严重影响患者的生活质量.
- 脑瘤切除是一种常见的治疗方法,但外科手术期间的发作带来了挑战.
- 在脑瘤患者中,有效治疗至关重要.
研究的目的:
- 为了评估影响脑瘤患者外科手术期间发作的因素.
- 确定有效的措施,以改善瘤切除后的结局.
- 分析发作发生率和控制的预测因素.
主要方法:
- 对54名脑患者进行前性观察性研究,这些患者先前有发作.
- 数据是在2020-2022年间在UMC,HCMC收集的.
- 对发作类型,瘤特征,治疗和结果的分析 (恩格尔分类).
主要成果:
- 一般性发作是最常见的 (61.1%),其次是焦点发作 (29.6%).
- 低度质瘤,前瘤,长期/耐药性,等增加了发作风险.
- 总体切除减少了术后发病率;Ki67指数与发病率相关.
- 88.9%和87.0%的患者分别在6个月和12个月后没有发作 (英格尔I类).
结论:
- 较短的发作史和总体切除与脑瘤手术后有利的发作控制有关.
- 虽然大多数患者实现了无性发作,但特定因素预测了结果.
- 在这个队列中,ECoG对手术结果的影响很小.
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