摘要
目的 分析低级别胶质瘤继发癫痫术前评估的重要性.方法 回顾性分析42例低级别胶质瘤继发癫痫患者术前评估的临床资料进行统计学分析.结果 头磁共振成像(MRI)、视频脑电图(V-EEG)、脑正电子发射断层扫描(PET)三种检查结果定位一致的阳性率高于V-GGE和脑PET,差异具有统计学意义(P<0.05).术后1年和2年发作减少的有效率均为100%.结论 术前通过影像学、视频脑电图及脑PET检查的综合评估,可早期进行手术治疗,从而提高癫痫手术效果.
Abstract
Objective To compare the efficacy and safely of domeslic clopidogrel (Talcom ) and imported clopidogrel ( Plavix ) on direcled PCI in AMI palienls. Methods 204 palienls with AMI Lo undergo direcled CAG + PCI were divided lo Iwo groups, including Talcom(TM) group (n = 123) and Plavix(TM) group ( n = 81) . 300 mg loading dose clopidogrel was oral before PCI in emergency room and 75 mg/d foreword one year. There were follow - up 3 ~ 28 monlh lo survey ihe incidence rale of MACE of combinalion end poinl of acute, subacule, lale slage, very lale slage slenl ihrombus and AMI, cardiac dealh, slroke and correlaled adverse reaction of bleed, major bleed, gaslroinleslinal complaint, and elc. Results There were nol slenl ihrombus and bleed evenl bolh Talcom(TM) group and Plavix(TM) group. There are Iwo palienls dealh of cardiac shock and heart ruplure in Plavix(TM) group. There were no significant differences in ihe incidence of targel vessel revascularization and combinalion end point belween Talcom? group and Plavix? group (X2 value 0. 000 and 0. 921 ,P value 0. 989 and 0. 337) . There were no significant differences in accumulation MACE hazard analysis by Kaplan - Meier survival analysis (X20.679, P =0.410). Conclusion Effecls and safely of isodose Talcom(TM) used in AMI palienls thal underwent emergenl direcled PCI are similar Lo those of Plavix(TM).