本文报道3例颈内动脉眼动脉段的巨大动脉瘤,结合文献复习这种少见而手术难度大的动脉瘤之特点。3例中,成功地直接夹闭动脉瘤蒂2例,其中1例使用电钻打开视神经管,在显微镜下分离出瘤蒂,另1例作了动脉瘤孤立术并颈内外动脉吻合术。3例术后效果均佳,神经系统症状有不同程度恢复。 This article reports 3 cases of giant artery aneurysm of the internal carotid artery ophthalmic artery segment, combined with the literature review of this rare and difficult to operate aneurysm characteristics. In 3 cases, 2 cases of aneurysm were successfully directly occluded, of which 1 case was operated with electric drill to open the optic canal, and the tumor pedicle was separated under the microscope. The other case was an aneurysm solitary and internal and external arterial anastomosis. Three cases were good results, nervous system symptoms have different degrees of recovery.