Department of Neurology, West China Hospital, Sichuan University, No. 37 Guoxue Road, Chengdu, Sichuan 610041, China.
Seizure. 2011 Jun;20(5):425-7. doi: 10.1016/j.seizure.2011.01.013. Epub 2011 Mar 3.
Epilepsy surgery plays a pivotal role in the successful treatments of intractable epilepsy. In China, economic burden for epileptic patients is heavy. Because of limited economic resources, appropriate utilization of presurgical evaluation technologies is especially important for low-income patients, who could benefit from surgery. This study proposed the strategies for restricting the cost of presurgical evaluation for resective surgery in low-income population with refractory epilepsy. A retrospective study was performed on the database of patients with resective surgery from January 2007 to June 2009 in West China Hospital of Sichuan University. Presurgical evaluation technologies and outcome were analyzed. As a result, 143 patients underwent resective operation were included in this study. Seizure free can be reached at 63.8% patients with (ATL) and 61.1% with focal lesionectomy (FLE). Magnetic resonance imaging (MRI), magnetic resonance spectroscopy (MRS), positron emission tomography (PET), routine electroencephalography (REEG), video-EEG (VEEG) and invasive-EEG (IEEG) were used for investigation. The cost of those technologies was listed for consultation. Based on these findings, how to make the proper choice for surgery candidates was suggested according to different types of epilepsy.
癫痫手术在难治性癫痫的成功治疗中起着关键作用。在中国，癫痫患者的经济负担沉重。由于经济资源有限，适当利用术前评估技术对于低收入患者尤为重要，他们可以从手术中受益。本研究提出了限制低收入难治性癫痫患者切除性手术术前评估成本的策略。对 2007 年 1 月至 2009 年 6 月在四川大学华西医院接受切除术的患者数据库进行了回顾性研究。分析了术前评估技术和结果。结果，本研究纳入了 143 例接受切除术的患者。（ATL）和 61.1%的局灶性病变切除术（FLE）患者达到无癫痫发作。磁共振成像（MRI）、磁共振波谱（MRS）、正电子发射断层扫描（PET）、常规脑电图（REEG）、视频脑电图（VEEG）和侵袭性脑电图（IEEG）用于检查。列出了这些技术的费用以供咨询。基于这些发现，根据不同类型的癫痫，提出了如何为手术候选者做出适当选择的建议。
