分析总结我院近 3年经开颅手术夹闭和血管血栓塞治疗的颅内动脉瘤治疗结果。方法 :统计近 3年我科治疗的颅内动脉瘤患者 2 5例的临床资料、治疗方式及结果 ,其中前循环动脉瘤 2 0例 ,后循环动脉瘤 5例。结果 :2 5例患者中 ,手术夹闭 13例 ,栓塞 12例。栓塞失败改为手术夹闭者 5例。死亡 2例 ,栓塞后偏瘫失语者 2例。结论 :颅内动脉瘤治疗宜首选手术夹闭 ,栓塞可作为手术治疗的补充 ,用于手术难以达到或不能耐受手术者。 Analysis and summary of nearly 3 years in our hospital by craniotomy occlusion and vascular thrombosis treatment of intracranial aneurysms results. Methods: The clinical data, treatment and results of 25 cases of intracranial aneurysms treated in our department in recent 3 years were collected. Among them, 20 were aneurysms of anterior circulation and 5 of posterior circulation aneurysms. Results: Of the 25 patients, 13 were occluded and 12 were embolized. Embolism changed to surgical clipping in 5 cases. 2 died, 2 cases of hemiplegia and aphasia after embolism. Conclusion: Intracranial aneurysm should be the first choice of surgical treatment of occlusion, embolization can be used as a supplement to surgery, surgery is difficult to achieve or can not tolerate surgery.