目的探讨颅内动脉瘤血管内栓塞治疗的疗效。方法118例颅内动脉瘤用可控弹簧圈行血管内栓塞治疗,对其随访结果进行分析。结果118例患者中108例痊愈,3例长期昏迷,7例死亡。72例术后2~36个月期间影像随访,无变化者63例,复发8例,1例栓塞后再出血。结论弹簧圈栓塞疗效肯定,但定期随访是必要的,尤其对部分栓塞者。 Objective To investigate the curative effect of intra-arterial embolization of intracranial aneurysms. Methods 118 cases of intracranial aneurysms with controlled coil endovascular embolization, the follow-up results were analyzed. Results Of the 118 patients, 108 were cured, 3 were long-term coma, and 7 were fatal. 72 patients were followed up for 2 ~ 36 months after operation. There were 63 patients without change, 8 patients relapsed and 1 patient rebleeding after embolization. Conclusion Coil embolization is effective, but regular follow-up is necessary, especially for some embolism.