手术治疗脑动静脉畸形及对患者MMSE评分的影响

Surgical Treatment of Cerebral Arteriovenous Malformation and its Effect on MMSE Score

目的探讨手术治疗脑动静脉畸形及对患者MMSE评分的影响。方法选取我院2016年6月—2017年6月收治的脑动静脉畸形患者110例,随机分为研究组和对照组,对照组进行显微手术治疗,研究组患者在显微手术的基础上再进行血管内栓塞治疗,并且在发病之后,用MMSE对两组患者进行认知功能检测。结果研究组患者治疗总有效率明显高于对照组(P<0.05),研究组患者在MMSE评分比较中也明显高于对照组(P<0.05)。结论在治疗脑动静脉畸形中基本上使用显微手术,对于血管内栓塞,可以用于单独的临床治疗,也可以在显微手术的基础上,进行联合治疗,当遇到体积较大,结构或位置比较复杂的脑动静脉畸患者时使用联合治疗会更好。

Objective To explore the effect of operation on cerebral arteriovenous malformation and MMSE score in patients. Methods 110 cases of cerebral arteriovenous malformations admitted to our hospital from June 2016 to June 2017 were selected, were randomly divided into research group and control group. The control group was treated with microsurgery, and the patients in the study group were treated with intravascular embolization on the basis of microsurgery, and after the onset of the disease, the cognitive function of two groups of patients was detected by MMSE. Results The effective rate of the study group was significantly higher than that of the control group（P〈 0.05）. The MMSE score in the study group was also significantly higher than that in the control group（P〈 0.05）. Conclusion In the treatment of cerebral arteriovenous malformation, microsurgery is basically used in the treatment of cerebral arteriovenous malformations. For intravascular embolization, it can be used for clinical treatment alone or on the basis of microsurgery. It will be better to use combined treatment in patients with larger size, complicated structure or position of cerebral arteriovenous malformation.