Guidetti B, Delitala A
J Neurosurg. 1980 Aug;53(2):149-52. doi: 10.3171/jns.1980.53.2.0149.
The authors present a consecutive series of 145 patients admitted to the Institute of Neurosurgery of Rome University with an intracranial arteriovenous malformation (AVM). Of these, 95 received surgical care, and 50 were treated conservatively. Total removal of the AVM was performed in all but three of the patients treated surgically, and all underwent postoperative angiography. The postoperative mortality was 6.3%. A long-term follow-up study showed a mortality rate of 20% in the group of patients receiving conservative treatment, while no recurrence of bleeding was observed in the surgical group. The choice of treatment of these malformations is still an open question. The authors' contribution to the discussion is based on the late results of both surgical and conservative treatment.
作者报告了罗马大学神经外科收治的145例颅内动静脉畸形（AVM）患者的连续病例系列。其中，95例接受了手术治疗，50例接受了保守治疗。除3例接受手术治疗的患者外，其余所有患者的AVM均被完全切除，且所有患者均接受了术后血管造影。术后死亡率为6.3%。一项长期随访研究显示，接受保守治疗的患者组死亡率为20%，而手术组未观察到出血复发。这些畸形的治疗选择仍然是一个悬而未决的问题。作者对该讨论的贡献基于手术和保守治疗的后期结果。
