在资源有限的越南队列中治疗的叶手术
Van Dinh Tran1, Bac Thanh Nguyen2, He Van Dong3
1Vietnam Military Medical University, Hanoi, Vietnam; Neurosurgery Center of Viet Duc Hospital, Hanoi, Vietnam.
World neurosurgery
|August 2, 2023
概括
在资源较少的环境中,手术是可行的. 对抗药性的时间性叶片切除术实现了80%的无发作率,证明在全球范围内可以提供有效的护理.
科学领域:
- 神经外科 神经外科
- 发病学 (Epileptology) 是一个专业的学科.
- 全球健康 全球健康
背景情况:
- 手术对于耐药性至关重要,但在资源有限的国家具有挑战性.
- 国际合作可以建立必要的手术计划.
研究的目的:
- 评估叶切除术在低资源环境中治疗耐药性的疗效和安全性.
- 在服务不足的地区建立手术计划的模型.
主要方法:
- 35名患有单边叶的患者的回顾性图表审查和前性随访.
- 患者在2018年5月至2022年9月期间在越南杜克大学医院接受了叶切除术.
- 收集的数据包括发作的结果,病理和术后并发症.
主要成果:
- 80%的患者在手术后1年实现了无 (Engel I);20%的患者表现出显著的改善 (Engel II).
- 常见的病理包括 mesial 时硬化 (48.57%),焦点皮质发育不良 (25.71%) 和低度瘤 (25.71%).
- 术后并发症发生在17.14%的患者中 (感染,暂时),没有死亡.
结论:
- 对耐药叶的有效和安全的手术治疗在资源不足的环境中是可以实现的.
- 这项研究为开发手术计划的国际合作提供了一个可复制的模型.
- 成功的结果凸显了全球扩大手术护理的潜力.
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