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Intracranial aneurysms associated with cerebral arteriovenous malformations (AVMs) are a rare condition in the clinic, and treatment is very difficult due to their particular anatomical features. We present our experience in the treatment of intracranial aneurysms with AVMs and evaluate the effectiveness and safety of endovascular treatment combined with microsurgical resection (the hybrid operation).This was a single-center retrospective study in our neurosurgical department from January 2015 to January 2021. We collected clinical data from 48 patients with intracranial aneurysms associated with AVMs and categorized them according to Redekop classifications according to the results of cerebral imaging examination to compare the therapeutic effects of endovascular embolization and the hybrid operation.Compared to nonaneurysmal AVMs, intracranial aneurysms with AVMs more often presented with intracranial hemorrhage (P0.05). Massive hematoma and severe neurological impairment were more often found in patients with intracranial aneurysms with AVMs (P0.05). For flow-related aneurysms, the hybrid surgery had a higher one-stage cure rate than endovascular embolization alone (P0.05). Both treatment methods had similar effects on intranidal aneurysms (P0.05). There were no significant differences in prognostic indicators between the two treatments. However, the recurrence rate of AVMs with proximal flow-related aneurysms was lower in patients who underwent the hybrid operation (P0.05).The hybrid operation was safe and effective for patients with intracranial aneurysms associated with AVMs. For flow-related aneurysms, the one-stage cure rate was higher and the recurrence rate was lower with the hybrid operation than with endovascular embolization alone.

The incidence of intracranial tumor is 5% of that of systemic tumor. Some of them are presented as large ones because of slow growth. The higher complications are challenging due to their potential behaviors after resection such as large residual cavity, cortex collapse and bridging vein rupture.

At this very moment, the international community is busy preparing for and fomenting sets of "social rules" that have at their core the formulation of fundamental labor standards to be recognized and implemented internationally. Preparations are also being made to link these rules to the World Trade Organization (WTO), so as to resolve the very serious social problems that economic globalization has brought, and to regulate competition in international trade. Since different countries around the world have different social systems and their economies are at different stages and levels of growth and development, the implementation of these "social rules" will have different types of impact on different nations. As China accelerates its participation in the process of globalization and, in particular, after it joins the WTO, it will very quickly be confronted with enormous pressure from these social rules. Labor legislation, as well as the state of employment and of labor relations in China will suffer a di...