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目的：为防止正常灌注压突破综合症，解决巨大脑动静脉畸形（直径＞６．０ｃｍ）手术切除的困难，降低手术死亡率。方法：术中首先分次结扎供应动脉近端，注入ＩＢＣＡ１．０ｍｌ＋５％葡萄糖１ｍｌ。分离畸形血管团，最后将其全切。术后常规复查脑血管造影。结果：２６例巨大ＡＶＭ′ｓ栓塞后手术全切，无手术死亡。术后短期神经功能缺损加重７例，随访６～３６月（平均１９．５月），２４例恢复正常工作和学习。结论：栓塞与手术切除联合治疗巨大动静脉畸形是治疗巨大动静脉畸形的有效手段。
Objective: To prevent the normal perfusion pressure breakthrough syndrome, to solve the huge cerebral arteriovenous malformation (diameter> 6.0cm) surgical excision difficulties and reduce operative mortality. Methods: During the operation, the artery was first ligated and ligated for 1ml, then IBCA1.0ml + 5% glucose 1ml was injected. Detach the abnormal vascular group, and finally cut it all. Postoperative routine review of cerebral angiography. Results: Twenty - six cases of giant AVM embolization were completely resected without surgery. Short-term neurological deficits in 7 patients were followed up for 6 to 36 months (mean 19.5 months), and 24 patients returned to normal working and learning. Conclusion: Embolization and surgical resection combined with giant AVM is an effective method for the treatment of giant AVM.