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随着显微手术技术水平的提高、血管内治疗(神经介入)的导管操作技巧和栓塞材料的不断改进以及X刀、γ刀的广泛应用,治疗脑动静脉畸形(AVM)的方法不断增多,但对各种治疗方案的疗效争论也不少。尽管显微外科手术后有许多并发症,但许多学者认为显微外科手术能立即根治AVM,故它在治疗AVM中居重要地位。血管内单一治疗法的治愈率并不理想,但可作为手术全切AVM的重要术前步骤。立体定向放射治疗已成为手术或栓塞后治疗AVM的一个重要补充方法。多学科综合治疗,可明显提高对AVM(特别对大中型)的治愈率
With the improvement of the technique level of microsurgery, the technique of catheterization for endovascular treatment (neurological intervention) and the continuous improvement of embolic material, as well as the extensive application of X-knife and γ-knife, the methods of treatment of cerebral arteriovenous malformation (AVM) Increase, but a lot of debate on the efficacy of various treatment options. Although there are many complications after microsurgery, many scholars believe that microsurgery can cure AVM immediately, so it plays an important role in the treatment of AVM. The curative rate of intravascular single therapy is not ideal, but it can be used as an important preoperative step to completely resect AVM. Stereotactic radiotherapy has become an important complementary method of treatment of AVM after surgery or embolization. Multidisciplinary treatment can significantly improve the AVM (especially for large and medium-sized) cure rate