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| The clinical effect of multi-disciplinary team integrating model in the surgical treatment of cerebral cavernous malformation associated with epilepsy |
| JIA Qin1 LIU Wenke2 |
1.Department of Cardiology, West China Hospital, Sichuan University, Sichuan Province, Chengdu 610041, China;
2.Department of Neurosurgery, West China Hospital, Sichuan University, Sichuan Province, Chengdu 610041, China |
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Abstract Objective To investigate the clinical effect of multi-disciplinary team integrating model in the surgical treatment of cerebral cavernous malformation associated with epilepsy （CCME）. Methods From May 2014 to May 2016, 153 patients with CCME underwent surgical therapy in West China Hospital were selected as the research objects. Seventy-three patients with CCME before multidisciplinary teams establishment from May 2014 to May 2015 were considerd as the control group and received conventional surgical treatment, while from June 2015 to May 2016, 80 patients with CCME before multidisciplinary teams establishment were considerd as the observation group and received comprehensive diagnosis and treatment after multidisciplinary teams establishment. The effects of postoperative epilepsy on CCME were analyzed by Engel classification and improved evaluation methods in China. The postoperative complications between the two groups was compared. Results The Engel classification and improved evaluation methods in China in the observation group were significantly better than those of control group, with statistically significant differences (P ＜ 0.05). The incidence of complications in the observation group was lower than that of control group, but with-out statistically significant differences (P ＜ 0.05). Conclusion The multi-disciplinary team integrating model plays an important role in the surgical efficacy of CCME, can significantly increase the epilepsy control rate. It should be promoted and applicated in qualified medical units.
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