分析40例颅内动脉瘤的直接手术,39例以蛛网膜下腔出血为首发症状,血管造影发现44个动脉瘤,大多数位于颈内动脉和前交通动脉。多数行瘤颈结扎或夹闭,术后造影17例动脉瘤消失,随访26例均恢复良好,在各种方法中直接手术宜优先选用瘤颈结扎法。 Forty cases of direct intracranial aneurysm surgery were analyzed, 39 cases were treated with subarachnoid hemorrhage as the first symptom, and 44 aneurysms were found by angiography. Most of them were located in the internal carotid artery and anterior communicating artery. The majority of tumor neck ligation or clipping, 17 cases of aneurysm disappeared after surgery, follow-up 26 cases were recovered well, in various methods direct surgery preferred tumor neck ligation method.