目的:探讨儿童头皮动静脉瘘的诊治方法、治疗结果和安全性。方法:回顾性分析2017年2月至2021年1月南京医科大学附属儿童医院神经外科收治的8例儿童头皮动静脉瘘患者的临床资料。8例患儿均表现为无痛性额颞部头皮搏动性肿物，其中5例为先天性，2例为医源性，1例为外伤后出现。所有患儿均行头颅CT血管成像(CTA)检查，其中5例行数字减影血管造影(DSA)检查。8例患儿头皮动静脉瘘的瘘口均位于额颞部，供血动脉为一侧或两侧颞浅动脉。所有患儿均行显微手术切除病变，其中1例采用小切口神经内镜辅助下手术切除。结果:所有患儿的病变均顺利切除。8例患儿均获得随访，随访时间为4~50个月。所有患儿无一例复发，无头皮坏死，切口均愈合良好。结论:儿童头皮动静脉瘘是一种罕见的血管性病变，通过临床症状、体征及头颅CTA表现可明确诊断。通过手术切除治疗儿童头皮动静脉瘘可达到治愈效果，且复发率低，并发症少。“,”Objective:To investigate the diagnosis, surgical treatment strategies, outcomes and safety of scalp arteriovenous fistula (AVF) in pediatric patients.Methods:A retrospective analysis was conducted on the clinical data of 8 children with scalp AVF admitted to the Department of Neurosurgery, Children′s Hospital of Nanjing Medical University from February 2017 to January 2021. All 8 patients presented with painless frontotemporal scalp pulsatile mass, of which 5 were congenital, 2 were iatrogenic, and 1 was post-traumatic. All children underwent head CT angiography (CTA), and 5 of them underwent digital subtraction angiography (DSA). The fistulas of 8 children were all located in the frontotemporal region, and the feeding arteries were unilateral or bilateral superficial temporal arteries. All 8 patients underwent microsurgical resection, and 1 patient underwent neroendoscopy-assisted resection with a small incision.Results:The lesions in all those cases were resected smoothly. All 8 children were followed up for 4 to 50 months. None of the children had recurrence or scalp necrosis, and the incisions healed well.Conclusions:Children′s scalp AVF is a rare vascular disease, which can be diagnosed based on the clinical symptoms, signs and head CTA. Surgical resection of scalp AVF in children can lead to curative effect with low recurrence rate and few complications.