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“。。。。。。 In the past nine months, the neurosurgery department of our 25 hospitals has admitted a total of 2,197 patients diagnosed with refractory epilepsy, of which 485 cases have been treated conservatively due to various reasons such as the lesion being in the functional area of the brain. The other 1,712 patients were all surgically treated, using the seizure classification published by the International League Against Epilepsy in 2010。。。。。。 ”

"Due to human, financial and other reasons, among the 1,712 patients, only 459 adopted the lesion localization plan we formulated, and the other 1,253 patients still adopted the traditional lesion localization method. I sincerely hope that as you become more familiar with the program, this number will be substantially improved in the coming year!"

"In the treatment group, the patients who were localized according to the protocol we formulated were the treatment group, and the traditional localization method was used as the control group, among the 459 patients in the treatment group, the age was 1-41 years old, the average was 8.3 years, the disease duration was 0.5-40 years, the average was 15.6 years, and the age at the time of surgery was 6-46 years old, with an average 。。。。。。 ”

"The causes of epilepsy in patients were head trauma in 79 cases, accounting for 17.2%, and history of asphyxia in dystocia at birth in 17 cases, accounting for 。。。。。。 ”

"Among the lesions, temporal lobe epilepsy was the most, with 254 cases, accounting for nearly 50 percent, 34 cases in the frontal lobe, 94 cases in the frontotemporal lobe, and 28 cases in the temporal occipital lobe。。。。。。 ”

"Surgical method. A total of 298 lesions were treated in the brain, including 114 cases with lesion resection and subpial transverse fiber severance。。。。。。 ”

。。。。。。

Although he knew that everyone had a thick book of information in their hands and could see these specific data, Tian Lu still read out these materials carefully sentence by sentence. Many physicians have only known the statistics of the department for a long time, and have never seen the overall data, Tian Lu read it out. It's also a buffer time for everyone.

A series of numbers were read out of Tian Lu's mouth, stirring back and forth in this silent conference room, which also made the mood of all the doctors present gradually fluctuate.

Yes. These are simple and cumbersome numbers, and perhaps in the eyes of the average person, these numbers are boring. There's not the slightest bit of fun, but in the eyes of these neurosurgeons, each number represents a living patient, a full nine months of physicians' efforts!

There are 1,712 patients, and if you go to 25 hospitals on average, there are nearly 70 cases in each hospital! That is to say, each hospital performs nearly 100 epilepsy surgeries every year! You know, if we take China as an example, the hospital with the largest number of epilepsy surgeries in China in a year is only 3 or 400!

That's definitely quite a number.

In fact, it is because of these hospitals that participated in the field road research. At least in the country is quite prestigious, and it also has considerable strength in the surgical treatment of epilepsy, so it can accumulate so many surgeries in just one year. This is also the reason why Tian Lu must bring these hospitals and these neurosurgeons into his own research in the first place. It is conceivable that even the neurosurgery department of the Second Affiliated Hospital can become powerful in an instant. But if you want to accumulate such a large number of cases, I am afraid that it will be absolutely impossible to do it in four or five years!

However, this number is too small for the much larger number of epilepsy patients, many of whom cannot be properly treated!

Epilepsy surgery is risky, requires a high level of physician, and requires PET for diagnosis. Video EEG and other equipment can only be carried out in a few hospitals, so at least in China, only thousands of patients can receive formal surgical treatment every year, and even fewer of them are truly effective.

"For the 459 patients in the treatment group, we uniformly adopted a systematic and standardized diagnostic scheme for the localization of epilepsy lesions, including neuropsychological diagnosis, imaging diagnosis, and behavioral diagnosis。。。。。。。 ”

After reading the general information part, Tian Lu quickly read the diagnosis part that everyone already knows, and soon, the final result came: "Ten days after the operation, CT, MRI and video electroencephalogram examinations were routinely performed, and then at three months, six months and nine months after the operation, the results showed that the lesion localization scheme we adopted was absolutely effective!"

Slowly raising his head, Tian Lu looked around, and his eyes revealed infinite pride!

There was also a slight commotion in the conference room.

Needless to say, almost every physician already knows this, especially when they just got this stack of information, almost everyone looked at the final data first!

Tian Lu also knew that everyone had seen it, but at this moment, he couldn't help but read it out loud: "According to the standard of EOC, the postoperative assessment is carried out, there are no seizures at all or only the aura is grade 1, rarely occurs as grade 2, the reduction of more than 90% is grade 3, and the others are 4." Based on this criterion, we can proudly say that the proportion of patients with an effect of 2 or more was higher than that of the control group out of all 459 patients。。。。。。 ”

"Forty percent!"

After a slight pause, the last sentence Tian Lu said was categorical and sonorous!

Maybe he felt that he had given everyone enough buffer time, or maybe because he couldn't help it, Tian Lu directly skipped another long list of cumbersome research results and data, and directly read out the final results!

What is the ultimate value of a clinical medical study, a new diagnostic method, or a new treatment plan? It is not what is the effective rate of the treatment, what is the cure rate, but the most important thing is how good it is compared with the traditional program or other programs!

Tens of thousands of words of various statistics, only this, that is, the comparison of the data of the treatment group and the control group, is the most concerned place in the end!

Therefore, at the moment when Tian Lu's voice just landed, the conference room was instantly boiling!

"Whoa。。。。。。 ”

There were only 30 people applauding, but it could sound like thunder, almost lifting the roof of the conference room!

Everyone's faces were filled with excitement, and a few even stood up and cheered. The excitement that has been suppressed since I first saw the information has finally been completely vented at this moment!

Forty percent!

As a neurosurgeon, no, as long as you're a physician, who doesn't understand the implications of this data?

You don't even have to look at the results of statistical analysis, in this era when you have to rely on statistical software to distinguish the advantages and disadvantages of different treatment options, this value has clearly told everyone: this year's hard work has not been in vain, and the clinical trial is definitely a success!

And it's a great success!

Far away, sitting in the corner of the long table, Elis, who was allowed to participate in the meeting and audit, finally couldn't help the surprise in his heart at this moment, and his eyes when he looked at Tian Lu instantly became more and more enthusiastic. If this time I came to Kyoto just to invite Taro to contribute to BMJ, then at this moment, Elise can already be sure that she must get this manuscript!

Do whatever it takes!

It can be said that the progress of every discipline and every disease in the diagnosis and treatment is accumulated step by step by countless research topics, and sometimes even 10 percent progress takes several years and the release of hundreds of research results to be able to do it! Think about it, since the world's first epilepsy surgery in 19, more than 100 years have passed, and now how much is the total effective rate of epilepsy surgery?

And the amazing results that Elise saw today turned out to be just a research topic, a year's time!

Everyone was irrepressibly excited, congratulating each other, and discussing warmly, it was obvious that the atmosphere in the conference room was no longer suitable for continuing the meeting for a while, Tian Lu smiled slightly, put down the information in his hand, and turned off the microphone switch casually.

He's not in a hurry.

Long before the start of the meeting, or earlier, or even earlier, when he imported a large number of experimental animals at the expense of blood and began to build animal models of epilepsy, Tian Lu had already expected this moment today. And after a series of successes in basic research, even though it was the first and very important achievement in clinical practice, Tian Lu's heart was miraculously without a trace of fluctuation.

It's like。。。。。。

Get used to it!

Obviously, although they are known as one of the professions that require the most calm, it took a while for neurosurgeons to slow down.

After calming down, everyone's eyes turned to the direction where Tian Lu was.

If I joined this clinical cooperative research project at the beginning, I just thought that the plan did have its feasibility, and there was indeed a certain foundation and evidence in the field of basic research, then at this moment, everyone's eyes looking at Tian Lu were completely different.

The results of this study are enough to prove one thing: this young neurosurgeon is already at the top of the field of epilepsy surgery!

There's no doubt about that!

"So。。。。。。 ”

Feeling everyone's gaze, Tian Lu smiled slightly and turned on the microphone switch at hand: "Gentlemen, although it is a bit disappointing, I still want to remind everyone that the meeting has just begun!"

"Huh?"

After listening to Tian Lu's words, everyone was stunned.

"The results have already been made, and we are to be happy about. ”

Raising his eyebrows, Tian Lu patted the information in his hand again, and said with a smile: "But in the whole research process and research results, there is still too much hidden information waiting for us to analyze and summarize, so after a short period of excitement, let's continue。。。。。。 (To be continued)

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