精品文档---下载后可任意编辑127 例脑动静脉畸形的治疗体会的开题报告Title: Treatment Experience of 127 Cases of Cerebral Arteriovenous MalformationIntroduction: Cerebral arteriovenous malformation (AVM) is a congenital vascular anomaly that can lead to potential risks such as hemorrhage, seizures, and neurological deficits. In recent years, different treatment options have emerged for managing AVM, including microsurgery, endovascular therapy, and radiosurgery. This study aims to present the treatment experience of 127 cases of cerebral AVM and provide insight into the optimal management for this condition.Method: This study included 127 patients diagnosed with cerebral AVM between January 2024 and December 2024. The patients were treated with microsurgery, endovascular therapy, or radiosurgery based on their individual characteristics, including location, size, and associated symptoms. The clinical data, treatment options, and outcomes were collected and analyzed retrospectively.Results: Of the 127 patients, 47 underwent microsurgery, 37 received endovascular therapy, and 43 underwent radiosurgery. The mean follow-up period was 32 months. The overall obliteration rate was 76.4%, and the complication rate was 11.8%. The complete obliteration rate was 90.4%, 62.2%, and 37.2% for microsurgery, endovascular therapy, and radiosurgery, respectively. The complication rate was highest in the microsurgery group (19.1%) and lowest in the radiosurgery group (4.7%).Conclusion: The optimal management of cerebral AVM depends on the individual patient's characteristics and the experience of the treating physicians. Microsurgery remains the gold standard for treating large AVMs located in eloquent areas. Endovascular therapy is useful in reducing the size of AVM or as an adjunct to microsurgery. Radiosurgery is a safe and effective treatment option for small to medium-sized AVMs located in deep or difficult-to-access areas. Overall, multidisciplinary management involving neurosurgeons, interventional radiologists, and radiation oncologists is essential for achieving favorable outcomes.
