在资源有限的环境中进行切割性手术:来自发展中国家多学科团队的队列
Hussein Hamdi1, Nirmeen Kishk2, Reham Shamloul2
1Department of Neurosurgery, Faculty of Medicine, Tanta University, Tanta, Egypt.
Surgical neurology international
|August 10, 2023
概括
多学科手术在资源有限的环境中是可行的. 仔细的手术前评估和手术内脑图绘制导致药物耐药患者的无发作结果良好.
科学领域:
- 神经学 神经学
- 神经外科 神经外科
- 发病学 (Epileptology) 是一个专业的学科.
背景情况:
- 多学科的手术前评估对于手术至关重要.
- 焦点耐药性 (DRE) 治疗通常涉及切除手术.
- 资源的局限性和缺乏专业中心在发展中国家构成了挑战.
研究的目的:
- 为了说明在资源有限的环境中创建一个多学科的病协议.
- 通过脑绘图和监测技术来评估手术的结果.
- 为了证明在具有挑战性的环境中实现令人满意的切除的可行性.
主要方法:
- 建立了多中心的,互补的单位,涵盖的子专业.
- 对接受切除手术的焦点DRE患者进行了前性研究.
- 使用了全面的手术前评估和手术内脑图 (包括电皮质造影).
主要成果:
- 包括47名患者 (平均年龄20.4岁) 具有焦点DRE.
- 74.5%的患者在12个月的随访后获得了恩格尔I类 (无) 结果.
- 17%的人获得了Engel Class II (几乎没有) 的结果.
结论:
- 在焦点DRE切除手术中,在资源较少的环境中可以获得有利的结果.
- 仔细的多学科手术前选择是关键.
- 术内脑图和电皮质造影显著促进成功的结果.
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